Sporadic examples of spurious macrocytosis due to hyperglycemic osmotic matrix effects have been reported. The present study defines the degree of macrocytosis expected under hyperglycemic normonatremic conditions using a Coulter S + II Isoton + System and its frequency in a large inpatient and outpatient population. No examples of spurious macrocytosis due to hyperglycemia were encountered in a sample comprising 28,471 complete blood counts, of which 564 had macrocytosis.
Erythrocyte Indices Glucose