Delivering Science Supporting Healthcare

GAL-1-PUT

Service
Test Background

Although classic galactosaemia is a rare inherited disease (1 in 70,000), it is among the most common carbohydrate metabolism disorders. It can be a life-threatening illness during the newborn period. It is caused by mutation in the galactose-1-phosphate uridyltransferase (G1PUT) gene on chromosome 9 at 9p13.

Clinical Indications

The cardinal features are hepatomegaly, cataracts and mental handicap. Almost invariably presents in the neonatal period with vomiting and failure to gain weight. Jaundice and hepatomegaly develop. Galactosaemia should be considered when a term infant gets an Escherichia coli sepsis and when a neonate develops cataracts. It should also be considered in any neonate with conjugated hyperbilirubinaemia or haemorrhage.

Reference Range

See report

Sample volume
Preferably 2 mL (absolute minimum 0.5 mL)
Turnaround time
Up to 6 weeks
Sample & Container Required
Heparin (green top)
Transport Storage
Sample must arrive at the referral lab within 24 h of collection. If you wish to send a sample on a Friday, please contact the laboratory first. 
Notes

Not currently performed in house; this is a referred test.

Blood transfusion in the previous 6 weeks will invalidate the result. Affected, untreated patients will have a high level of urine reducing substances (REDU), almost all of which will be galactose. REDU is an in-house test.

Record last updated
August 19, 2025

Sample Container

6ml Lithium Heparin (Green top)

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Test Results

Yes, we have a Pathology User Guide

Yes. Please email your request to Imperial.nwlpcustomerservice@nhs.net

Results are communicated to clinical staff and are normally not communicated direct to patients either on telephone requests or in written report. If you need to contact us please click here to view the contact details page

Please contact the Customer Service Team Monday to Friday from 8:30am – 6:00pm on 0203 313 5353. Alternatively, see the Pathology User Guide for how to contact the relevant department. If advice is not urgent you can also email your query to Imperial.nwlpcustomerservice@nhs.net

Additional tests may be added by discussion with the relevant laboratory. The time limit for adding additional tests to a sample already received in the laboratory will depend on the type of sample and the department it was sent to.

Information on the repertoire of tests performed by pathology, including reference ranges, turnaround times and specimen requirements, can be found in the test directory.

NWLP operates UKAS accredited medical laboratories as per the references below. The current scope of accreditation for all NWLP’s laboratories can be found on the UKAS website.

See the following UKAS ref numbers:

  • Clinical Biochemistry Ref: 8673
  • Haematology and Blood Transfusion Ref: 8674
  • Infection & Immunity Sciences (Including Immunology, Virology, Microbiology and Histocompatibility and Immunogenetics ) Ref: 8659
  • Cellular Pathology (Including Histopathology, Cytology and Molecular Pathology) Ref: 9615

If you require copies of our certificate of accreditation and associated documentation please contact Imperial.nwlpcustomerservice@nhs.net.

UKAS requires the laboratories to be accredited for a particular repertoire/scope (ISO15189), any changes or additions to repertoire require assessment by UKAS (extension to scope).

The BD Hospital Tube GuideBD GP Tube Guide and BD Paediatric Tube Guide provide visual references to the correct tube types and collection instructions.

Home testing

INSTRUCTION SHEET FOR BLOOD SAMPLE COLLECTION 

We also have two instruction videos available (one with subtitles and one without) – please click on the links to view the videos on Google.

VIDEO ON BLOOD SAMPLE COLLECTION (without subtitles)

VIDEO ON BLOOD SAMPLE COLLECTION (with subtitles)

Our accreditations

Upholding excellence in diagnostic standards

Our laboratories are accredited by the UK Accreditation Service (UKAS) against the international standard ISO15189:2022. UKAS is the accreditation body for the UK that assesses medical laboratories.

Find out more about our accreditations on the UKAS website.

UKAS website
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