There are two forms of scleroderma: localized scleroderma (primarily affects the skin, most common form found in children) and systemic sclerosis (a chronic, degenerative disease rarely seen in children). Linear scleroderma is a progressive loss of subcutaneous fat with pigment changes in the skin.
We assume that the person described here starts the work period eagerly, using stored glycogen at the beginning of the work session. Muscle glycogen remains is the major source of energy during the first half-hour. After this period we see that fatty acids and blood glucose takes over as important energy sources.
The body breaks down most carbohydrates from the foods we eat and converts them to a type of sugar called glucose. Glucose is the main source of fuel for our cells. When the body doesn't need to use the glucose for energy, it stores it in the liver and muscles. This stored form of glucose is made up of many connected glucose molecules and is called glycogen. When the body needs a quick boost of energy or when the body isn't getting glucose from food, glycogen is broken down to release glucose into the bloodstream to be used as fuel for the cells.