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Test Code Glucagon Glucagon, Plasma

Reporting Name

Glucagon, P

Useful For

Diagnosis and follow-up of glucagonomas and other glucagon-producing tumors

 

Assessing diabetic patients with problematic hyper- or hypoglycemic episodes (extremely limited utility)


Specimen Required


Patient Preparation: Patient should fast for 8 hours before specimen collection.

Supplies: Sarstedt Aliquot Tube, 5 mL (T914)

Collection Container/Tube: Lavender top (EDTA)

Submission Container/Tube: Plastic vial

Specimen Volume: 2 mL

Collection Instructions:

1. Pre-chill lavender top (EDTA) tube at 4° C before drawing the specimen.

2. Draw blood into the pre-chilled tube and process as follows:

 a. Chill filled tube in wet ice for 10 minutes.

 b. Centrifuge in a refrigerated centrifuge or in a pre-chilled centrifuge carrier.

 c. Immediately after centrifugation, aliquot plasma into a plastic vial and freeze.


Specimen Type

Plasma EDTA

Specimen Minimum Volume

0.45 mL

Specimen Stability Information

Specimen Type Temperature Time
Plasma EDTA Frozen 90 days

Day(s) Performed

Tuesday, Friday

Seattle Children's Hospital Note:

TAT: 4 - 8 days

Performing Laboratory

Mayo Clinic Laboratories in Rochester

Method Name

Enzyme-Linked Immunosorbent Assay (ELISA)

Method Description

The glucagon enzyme-linked immunosorbent assay (ELISA) is a quantitative two-step sandwich type immunoassay. In the first step, calibrators, controls, and unknown samples are added to glucagon antibody-coated microtiter wells and incubated with biotinylated glucagon antibody. After the first incubation and washing, the wells are incubated with streptavidin horseradish peroxidase conjugate (SHRP). After the second incubation and washing step, the wells are incubated with substrate solution (tetramethylbenzidine: TMB). After TMB incubation, an acidic stopping solution is added. In principle, the antibody-biotin conjugate binds to the solid phase antibody-antigen complex, which in turn binds to the streptavidin-enzyme conjugate. The antibody-antigen-biotin conjugate-SHRP complex bound to the well is detected by enzyme-substrate reaction. The degree of enzymatic turnover of the substrate is determined by dual wavelength absorbance measurement at 450 nm as primary test filter and 630 nm as reference filter. The absorbance measured is directly proportional to the concentration of glucagon in the samples and calibrators.(Package insert: Glucagon ELISA IFU. Ansh Labs, Revision 09, 01/2023)

Reference Values

≥1 year of age: ≤159 pg/mL

<1 year of age: No reference interval established.

 

For International System of Units (SI) for Reference Values, see www.mayocliniclabs.com/order-tests/si-unit-conversion.html.

Test Classification

This test has been cleared, approved, or is exempt by the US Food and Drug Administration and is used per manufacturer's instructions. Performance characteristics were verified by Mayo Clinic in a manner consistent with CLIA requirements.

CPT Code Information

82943

LOINC Code Information

Test ID Test Order Name Order LOINC Value
GLP Glucagon, P 2338-2

 

Result ID Test Result Name Result LOINC Value
9358 Glucagon, P 2338-2

Report Available

3 to 7 days

Reject Due To

Gross hemolysis Reject
Gross lipemia Reject
Gross icterus Reject

Forms

If not ordering electronically, complete, print, and send an Oncology Test Request (T729) with the specimen.