Tagged: Hypoglycemia

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Elevated Acylcarnitine compounds and associated hypoglycemia- What is the defect?

Case details A 5- year-old boy suffered gastroenteritis for two days and was brought to emergency in the semiconscious state. Blood glucose at the time of admission was 45 mg/dl and his urine was negative for glucose and ketone bodies. Glucose was administered intravenously and his condition improved within 10 minutes. Subsequent laboratory investigations revealed elevated acylcarnitine residues. The child was diagnosed with an enzyme deficiency. The parents were instructed to feed the child more frequently. Which of the following enzymes might be deficient? A. Acyl Co A synthetase B. Carnitine Acyl transferase-1 C. Translocase D. Carnitine Acyl transferase-2 E....

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Alcohol induced hypoglycemia

Case details A known alcoholic is found lying semiconscious at the bottom of a stairwell with a broken arm by his landlady, who called an ambulance to take him to the emergency room. Initial laboratory studies showed are relatively large anion gap of 34 (normal = 9 to 15). His blood alcohol was elevated at 245 mg/dL (intoxication level = 150 to 300 mg/dL), and his blood glucose was 38 mg/dL (low normal). The patient/s large anion gap and hypoglycemia can best be explained by which of the following? A. Decreased secretion of glucagon B. Increased secretion of insulin C....

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Answer- Case study- Gestational Diabetes Mellitus and Neonatal hypoglycemia-A patient who had gestational diabetes has just delivered …

A patient who had gestational diabetes has just delivered a 10 lb baby. The baby appears “jittery” and heel stick glucose is 30 mg/dL. Which of the following mechanisms is the explanation for the newborn’s hypoglycemia? A. The mother’s relative hyperinsulinemia B. The baby’s relative hyperinsulinemia C. The mother’s hyperglycemia D. The baby’s hyperglycemia E. Placental insulin production Answer- The correct answer is- B- The baby’s relative hyperinsulinemia. Gestational diabetes is a condition characterized by high blood glucose levels that is first recognized during pregnancy. The condition occurs in approximately 4% of all pregnancies. Almost all women have some degree...

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Case study- Gestational Diabetes and neonatal hypoglycemia-A patient who had gestational diabetes has just delivered ..

A patient who had gestational diabetes has just delivered a 10 lb baby. The baby appears “jittery” and a heel stick glucose is 30 mg/dL. Which of the following mechanisms is the explanation for the newborn’s hypoglycemia ? A. The mother’s relative hyperinsulinemia B. The baby’s relative hyperinsulinemia C. The mother’s hyperglycemia D. The baby’s hyperglycemia E. Placental insulin production For answer follow the link http://usmle.biochemistryformedics.com/answer-case-study-gestational-diabetes-mellitus-and-neonatal-hypoglycemia-a-patient-who-had-gestational-diabetes-has-just-delivered/ Please help Biochemistry for Medics by “CLICKING ON THE ADVERTISEMENTS” every time you visit us. Thank you!

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