Adaptation of glucose metabolism to fasting in young children with infectious diseases: a perspective

作者：Zijlmans Wilco C W R^*; van Kempen Anne A M W; Serlie Mireille J; Kager Piet A; Sauerwein Hans P

来源：Journal of Pediatric Endocrinology & Metabolism, 2014, 27(1-2): 5-13.

DOI：10.1515/jpem-2013-0165

• gluconeogenesis
• glucose kinetics
• glucose production
• glycogenolysis
• hypoglycemia

Hypoglycemia is a frequently encountered complication in young children with infectious diseases and may result in permanent neurological damage or even death. Mortality rate in young children under 5 years of age is increased four-to six-fold when severe infectious disease is complicated by hypoglycemia. Young age, prolonged fasting and severity of disease are considered important risk factors. This perspective describes the combined results of recently conducted studies on the effect of these risk factors on glucose metabolism in children with different infectious diseases. The results of these studies have nutritional implications for the approach in clinical practice towards young children with infectious diseases and specific recommendations are made. A unique finding is the existence of infectious disease-related differences in the adaptation of glucose metabolism during fasting in young children.

• 出版日期2014-1