Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
5
pubmed:dateCreated
2001-10-11
pubmed:abstractText
The rate of glucose turnover (R(a)) and gluconeogenesis (GNG) via pyruvate were quantified in seven full-term healthy babies between 24 and 48 h after birth and in twelve low-birth-weight infants on days 3 and 4 by use of [(13)C(6)]glucose and (2)H(2)O. The preterm babies were receiving parenteral alimentation of either glucose or glucose plus amino acid with or without lipids. The contribution of GNG to glucose production was measured by the appearance of (2)H on C-6 of glucose. Glucose R(a) in full-term babies was 30 +/- 1.7 (SD) micromol. kg(-1). min(-1). GNG via pyruvate contributed approximately 31% to glucose R(a). In preterm babies, the contribution of GNG to endogenous glucose R(a) was variable (range 6-60%). The highest contribution was in infants receiving low rates of exogenous glucose infusion. In an additional group of infants of normal and diabetic mothers, lactate turnover and its incorporation into glucose were measured within 4-24 h of birth by use of [(13)C(3)]lactate tracer. The rate of lactate turnover was 38 micromol. kg(-1). min(-1), and lactate C, not corrected for loss of tracer in the tricarboxylic acid cycle, contributed approximately 18% to glucose C. Lactate and glucose kinetics were similar in infants that were small for their gestational age and in normal infants or infants of diabetic mothers. These data show that gluconeogenesis is evident soon after birth in the newborn infant and that, even after a brief fast (5 h), GNG via pyruvate makes a significant contribution to glucose production in healthy full-term infants. These data may have important implications for the nutritional support of the healthy and sick newborn infant.
pubmed:grant
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:chemical
pubmed:status
MEDLINE
pubmed:month
Nov
pubmed:issn
0193-1849
pubmed:author
pubmed:issnType
Print
pubmed:volume
281
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
E991-7
pubmed:dateRevised
2007-11-14
pubmed:meshHeading
pubmed-meshheading:11595655-Amino Acids, pubmed-meshheading:11595655-Blood Glucose, pubmed-meshheading:11595655-Body Water, pubmed-meshheading:11595655-Carbon Isotopes, pubmed-meshheading:11595655-Deuterium, pubmed-meshheading:11595655-Diabetes Mellitus, Type 1, pubmed-meshheading:11595655-Female, pubmed-meshheading:11595655-Gluconeogenesis, pubmed-meshheading:11595655-Glucose, pubmed-meshheading:11595655-Humans, pubmed-meshheading:11595655-Infant, Low Birth Weight, pubmed-meshheading:11595655-Infant, Newborn, pubmed-meshheading:11595655-Infant, Premature, pubmed-meshheading:11595655-Infant, Small for Gestational Age, pubmed-meshheading:11595655-Lactic Acid, pubmed-meshheading:11595655-Parenteral Nutrition, pubmed-meshheading:11595655-Pregnancy, pubmed-meshheading:11595655-Pregnancy in Diabetics, pubmed-meshheading:11595655-Pyruvic Acid
pubmed:year
2001
pubmed:articleTitle
Estimation of gluconeogenesis in newborn infants.
pubmed:affiliation
Schwartz Center for Metabolism and Nutrition, MetroHealth Medical Center, Case Western Reserve University School of Medicine, Cleveland, Ohio 44109, USA. sck@po.cwru.edu
pubmed:publicationType
Journal Article, Research Support, U.S. Gov't, P.H.S.