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Urinalysis - The Carter Center

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41<br />

Types of Urinary Sugar ( Glucose )Tests<br />

• Test for urine sugar is used to detect diabets mellitus and also<br />

used to monitor the effectiveness of diabetic control.<br />

• <strong>The</strong>re are various tests for glucose which may be applied to<br />

urine. <strong>The</strong> most frequently used are :<br />

a. Non specific reduction tests based on the reduction of<br />

certain metal ions by glucose;<br />

b. Enzymatic tests based on the action of glucose oxidase on<br />

glucose.<br />

Non- Specific Tests for Glucose<br />

<strong>The</strong>se tests are based on the ability of glucose to act as reducing<br />

substances. Tests that are based on the reducing ability of glucose, are<br />

not specific for glucose. In these tests, glucose is acting as a reducing<br />

agent, and any compound with a free aldehyde or ketone group will give<br />

the same reaction. Hence Glucose is not the only reducing substance<br />

that may be found in urine. Urine contine nonglucose reducing<br />

substance (NGRS) such as: uric acid, creatinine, galactose, fructose,<br />

lactose, pentose, levulose, homogentisic acid, ascorbic acid, chloroform,<br />

and formaldehyde.<br />

Commonly used non-specific tests for urinary sugar are Benedict's<br />

Qualitative Test and the Clinitest Tablet Test.<br />

A. Benedict's Qualitative Test<br />

Benedict is a very sensetive copper reduction test and may give<br />

positive reactions with non-specific non-glucose reducing substances<br />

normally present in urine. Since glucose is the reducing agent, it is<br />

oxidized to gluconic acid. <strong>The</strong> positive reaction is indicated by a color<br />

change. It is a qualitative test in which the degree of color formation is<br />

proportional to the amount of reducing substance present in the

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