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Urinalysis - The Carter Center

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2. Dip part of the tape into the urine specimen; remove it<br />

immediately.<br />

3. Wait for 30 seconds; then observe the appearance of any green<br />

color.<br />

4. Record the result as positive or negative. If the test area remains<br />

yellow after 30 seconds, the result is negative. If any green color<br />

is present at this time, the result is positive.<br />

C. Diastix Reagent Strip for Glucose<br />

Principle<br />

Diastix is a specific test for glucose based on the use of glucose<br />

oxidase, which is impregnated on the reagent strip. <strong>The</strong> chemical<br />

reaction is the same as for clinistix, the difference being the chromogen<br />

system used to indicate the presence of glucose. <strong>The</strong> reagent area<br />

contains glucose oxidase, peroxidase, a blue background dye, and<br />

potassium iodide as the chromogen. In a positive reaction oxidation of<br />

potassium iodide results in the formation of free iodide, which blends<br />

with the blue background dye to give shades of green through brown.<br />

(<strong>The</strong> Boeringer dip-strip Test is also based on the same principle). As<br />

with clinistix, large amounts of ascorbic acid may give falsely negative or<br />

delayed results for glucose. This suppression is not as great as with<br />

clinistix, but it may cause problems. Bleach and hydrogen peroxide<br />

may cause falsely positive reactions, as with Clinistix.<br />

Diastix has the advantage of being suitable as a screening test for the<br />

presence of glucose in the urine, and giving a rough estimate of the<br />

amount of glucose present. It detects as little as 100 mg of glucose per<br />

100 ml of urine. However, urine specimens from pediatric patients must<br />

be subjected to a non-specific test for urinary sugar (Clinitest or<br />

Benedict's test) in addition to the specific glucose screening test in order<br />

to detect the presence of sugars other than glucose.<br />

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