PMID: 7014071Jun 1, 1981Paper

Rapid glucose disappearance in infants with infection

Clinical Pediatrics
R D LeakeW Oh

Abstract

Altered carbohydrate metabolism has been reported during episodes of neonatal infection. To document that there is more rapid glucose disappearance during infection, intravenous glucose tolerance tests (IVGTT) and serial plasma growth hormone and insulin levels were determined in eight full-term neonates during the first three days of an acute episode of infection and during convalescence, 5 to 15 days later. Eight healthy infants were each studied once using the same study protocol. Glucose disappearance rates, measured as K1 of glucose, were increased (p less than 0.01) during both the acute septic period (3.7 +/- 0.3% disappearance/min; mean +/- S.E.M.) and convalescent period (2.5 +/- 0.2% min) when compared with values in control infants (1.3 +/- 0.3%/min). Gram-negative, gram-positive, and viral infections were all associated with rapid glucose disposal. The abnormality in carbohydrate homeostasis persisted for at least 5 to 15 days after treatment was begun. Baseline and stimulated (20-minutes post bolus glucose infusion) plasma insulin and growth hormone levels did not differ among the groups. Thus, there is no evidence that hyperinsulinism produced the rapid glucose disappeared rate and enhanced glucose utilization. Th...Continue Reading

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Citations

Oct 11, 2005·Acta Paediatrica. Supplement·William W Hay
Jun 9, 1999·The Journal of Laboratory and Clinical Medicine·T BattelinoW P Zeller
Feb 26, 2000·Clinics in Perinatology·P J Thureen, W W Hay
Dec 6, 2000·The Journal of Surgical Research·M GotoW P Zeller
Aug 24, 1999·Pediatrics International : Official Journal of the Japan Pediatric Society·M GotoW P Zeller
May 28, 2010·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Roberto RomeroChris Beecher

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