Diagnosis: Preanalytics
• Physiologic factors that may affect laboratory results should be minimized before phlebotomy.
• Some types of physiologic factors include diurnal variation, exercise, fasting, diet, ethanol consumption, smoking, drug ingestion, and posture.
• An individual’s diet can greatly affect laboratory results.
• These dietary effects are transient and easily controlled.
• High-protein, low-carbohydrate diets, such as the Atkins diet, increase urine ketones and increase serum levels of blood urea nitrogen.