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Urine Analysis: Sugars
Dr. Salman Ansari
Dept. of Pathology
Kanachur Institute of Medical Sciences
Contents
● Intro
● Test
● Principle
● Procedure
● Interpretation
● Viva
Reducing sugar
Called “reducing” because it has a free ketone or
aldehyde group which can be donated
Examples of reducing sugar:
- Glucose
- fructose
Reason to test?
- Presence of detectable amount reducing sugar in urine -
called “glycosuria”
- Presence of detectable amount of glucose in urine -
called “glucosuria”
Causes of glucosuria:
- Type 2 Diabetes Mellitus
- Pregnancy : Gestational diabetes mellitus(GDM)
- Severe burns
- IV corticosteroids
- Severe sepsis
Test for reducing sugar
Benedict’s test:
- Test to detect reducing sugars in urine
- It is a qualitative test and also semi-quantitative test
- Benedict’s reagent contains:
- Copper sulphate
- Sodium carbonate
- Sodium citrate
Principle
● Urine is added to blue coloured copper sulphate
solution.
● Cupric ion is reduced by glucose to cuprous oxide and
a coloured precipitate is formed.
● Take 5 ml of Benedict’s qualitative reagent in a test
tube.
● Add 8 drops (or 0.5 ml) of urine.
● Heat to boiling for 2 minutes
● Look for colour change
Procedure
Interpretation
No change of blue colour = Negative
Greenish colour = Traces (< 0.5 g/dl)
Green/cloudy green ppt = + (0.5-1 g/dl)
Yellow ppt = ++ (1-1.5 g/dl)
Orange ppt = +++ (1.5-2 g/dl)
Brick red ppt = ++++ (> 2 g/dl)
Report:
The given sample contains: reducing sugar
Principle Observation Interpretation
0.5 ml of urine boiled
in 5 ml of Benedict’s
reagent.
Blue colour copper
sulphate is reduced in
the presence of
reducing sugar,
leading to colour
change
Orange colour seen Reducing sugar
present
Viva questions
Q: What does Benedict’s test detect?
Q: What does Benedict’s reagent contain?
Q: What is the principle and procedure of Benedict’s
test?
Q: What are the advantages of Benedict’s test?
- Simple, can be performed quickly
- Cheap
- It is both qualitative and quantitative
Q: What are the limitations of Benedict’s test?
- False positive due to drugs like penicillin, isoniazid,
streptomycin, salicylate
- Exact concentration cannot be measured, only
rough estimate
References:
● Harsh Mohan - Practical Pathology - 5th edition
Questions:
salman.s.ansari92@gmail.com
For PPT, scan:

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Urine analysis - Reducing Sugar

  • 1. Urine Analysis: Sugars Dr. Salman Ansari Dept. of Pathology Kanachur Institute of Medical Sciences
  • 2. Contents ● Intro ● Test ● Principle ● Procedure ● Interpretation ● Viva
  • 3. Reducing sugar Called “reducing” because it has a free ketone or aldehyde group which can be donated Examples of reducing sugar: - Glucose - fructose
  • 4. Reason to test? - Presence of detectable amount reducing sugar in urine - called “glycosuria” - Presence of detectable amount of glucose in urine - called “glucosuria”
  • 5. Causes of glucosuria: - Type 2 Diabetes Mellitus - Pregnancy : Gestational diabetes mellitus(GDM) - Severe burns - IV corticosteroids - Severe sepsis
  • 6. Test for reducing sugar Benedict’s test: - Test to detect reducing sugars in urine - It is a qualitative test and also semi-quantitative test - Benedict’s reagent contains: - Copper sulphate - Sodium carbonate - Sodium citrate
  • 7. Principle ● Urine is added to blue coloured copper sulphate solution. ● Cupric ion is reduced by glucose to cuprous oxide and a coloured precipitate is formed.
  • 8. ● Take 5 ml of Benedict’s qualitative reagent in a test tube. ● Add 8 drops (or 0.5 ml) of urine. ● Heat to boiling for 2 minutes ● Look for colour change Procedure
  • 9.
  • 10. Interpretation No change of blue colour = Negative Greenish colour = Traces (< 0.5 g/dl) Green/cloudy green ppt = + (0.5-1 g/dl) Yellow ppt = ++ (1-1.5 g/dl) Orange ppt = +++ (1.5-2 g/dl) Brick red ppt = ++++ (> 2 g/dl)
  • 11.
  • 12. Report: The given sample contains: reducing sugar Principle Observation Interpretation 0.5 ml of urine boiled in 5 ml of Benedict’s reagent. Blue colour copper sulphate is reduced in the presence of reducing sugar, leading to colour change Orange colour seen Reducing sugar present
  • 13. Viva questions Q: What does Benedict’s test detect? Q: What does Benedict’s reagent contain? Q: What is the principle and procedure of Benedict’s test? Q: What are the advantages of Benedict’s test? - Simple, can be performed quickly - Cheap - It is both qualitative and quantitative
  • 14. Q: What are the limitations of Benedict’s test? - False positive due to drugs like penicillin, isoniazid, streptomycin, salicylate - Exact concentration cannot be measured, only rough estimate
  • 15. References: ● Harsh Mohan - Practical Pathology - 5th edition Questions: salman.s.ansari92@gmail.com For PPT, scan: