Calibration Curve Equation for the straight line y=0.017x – 0.0935 to get the concentration values for the samples, we re-arrange this equation: x = (y+0.0935)/0.017, where x = concentration and y = absorbance Sample Absorbances Sample concentrations A = 0.988 SS1 = 0.851 H1 = 0.880 H2 = 1.034 H3 = 0.630 H4 = 0.731 63.6 mg/ dL 55.6 mg/ dL 57.3 mg/ dL 66.3 mg/ dL 42.6 mg/ dL 48.5 mg/ dL some samples were diluted: H1 = 1 in 5 therefore H1 concentration = 286.5 mg/dL H2 = 1 in 2 therefore H2 concentration = 132.6 mg/dL H3 = 1 in 2 therefore H3 = 85.2 mg/ dL Final Sample Concentrations: A = 63.6 mg/dL: slightly low, just outside 70 mg/dL, could be a normal sample SS1 = 55.6 mg/ dL: low, indication of hypoglycaemia H1 = 286.5 mg/ dL: extremely high - hyperglycaemic H2 = 132.6 mg/dL: high, hyperglycaemic H3 = 85.2 mg/dL: within 70 – 99 mg/dl range, normal sample H4 = 48.5 mg/dL: low, indicates hypoglycaemia, several possibilities Diagnosis/Discussion of Sample Concentrations A: although slightly low, the value is not extreme, so most likely the patient is healthy, and results can be altered slightly due to other influences such as the patient’s age or the measurement method. H3: Normal glucose levels SS1 & H4: Samples are in a hypoglycaemic state. Patients may show any of the following symptoms: Shakiness Palpitations Sweating, although cold Dilating Pupils Hunger or Nausea Fatigue, confusion and irritability Slurred Speech Impaired Judgement Headaches Seizures Coma Not all occur in every case, and do not occur in a set order. There are numerous causes for hypoglycaemia. Specific manifestations vary by age and by severity of the hypoglycemia. In young children vomiting often accompanies morning hypoglycemia with ketosis. In older children and adults, moderately severe hypoglycemia can resemble mania, mental illness, drug intoxication, or drunkenness. In the elderly, hypoglycemia can produce focal stroke-like effects or a hard-to-define malaise. The symptoms of a single person do tend to be similar from episode to episode. If the patient is newborn: Prematurity, Maternal Diabetes, Sepsis or Prolonged fasting, Congenital Hypopituitarism/Hyperinsulinism If the patient is a child: Diarrhoea, Growth Hormone Deficiency, Idiopathic Ketogenic Hypoglycaemia, Insulin excess, Ingestion of something such as mouthwash Adult patients: Injected insulin, used for type 1 diabetes Insulin secreting pancreatic tumour Addison’s Disease Sepsis Acquired hypopituitarism and adrenal insufficiency in older adults. Samples H1 & H2: Show hyperglycaemic signs. The fasting levels are both over 126mg/dL, which is very serious as sustained high levels of blood glucose can damage blood vessels and the organs which they supply. The high levels could be due to 2 causes: Diabetes – hyperglycaemia is a classic symptom of Diabetes Mellitus (others being constant thirst and excessive urination), which has an unknown cause and an unknown cure. Other symptoms that the patients may be showing include: Blurred vision, Fatigue, weight loss, poor healing of wounds, impotence, dry mouth, recurrent infections. These symptoms do not normally occur with acute non-diabetic hyperglycaemia, but some occur with the chronic form of the condition (with the exception of weight loss). Non-diabetic Hyperglycemia – mainly caused by obesity, and the condition can be helped by removing the body’s fat reserves through exercise and maintaining a healthy diet. Excess white fat in the body disrupts the body’s ability to absorb and use insulin. Other causes of non-diabetic hyperglycemia are eating disorders, such as Bulimia – where the person will binge-eat, causing a rapid increase in calorie intake. Percentage Purity of Sample A Glycogen + Water Glucose Glycogen’s Mr = 162 Water’s Mr = 18 therefore Glucose Mr = 180 A = 700mg = 0.7g no. of moles = mass/ Mr = 0.7/162 = 4.32x10-3 moles Mass = no. moles x Mr = 0.778 = 778mg Sample A’s Mr = 636 Percentage Purity – 636/778 x 100 = 81.74%