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Test Code GLP Glucagon, Plasma


Specimen Required


Patient Preparation: Fasting (8 hours)

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 Minimum Volume

0.45 mL

Specimen Stability Information

Specimen Type Temperature Time Special Container
Plasma EDTA Frozen 90 days

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)

Reject Due To

Gross hemolysis Reject
Gross lipemia OK
Gross icterus OK

Day(s) Performed

Tuesday, Thursday

Report Available

3 to 7 days

Reporting Name

Glucagon, P

Reference Values

≤6 hours: 100-650 pg/mL

1-2 days: 70-450 pg/mL

2-4 days: 100-650 pg/mL

4-14 days: declining gradually to adult levels

>14 days: ≤80 pg/mL (range based on 95% confidence limits)

 

Glucagon levels are inversely related to blood glucose levels at all ages. This is particularly pronounced at birth and shortly thereafter, until regular feeding patterns are established. This explains the higher levels immediately after birth, which then first fall as the glucagon release mobilizes the infant's glucose stores, then rise again as stores are depleted, finally normalizing towards adult levels as regular feeding patterns are established.

 

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

Method Name

Immunoassay

Performing Laboratory

Mayo Clinic Laboratories in Rochester

CPT Code Information

82943