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.
When it is needed for energy, glycogen is broken down and converted again to glucose. Glycogen phosphorylase is the primary enzyme of glycogen breakdown. For the next 8â12 hours, glucose derived from liver glycogen is the primary source of blood glucose used by the rest of the body for fuel.Glucagon, another hormone produced by the pancreas, in many respects serves as a countersignal to insulin.or the next 8â12 hours, glucose derived from liver glycogen is the primary source of blood glucose used by the rest of the body for fuel. Glucagon, another hormone produced by the pancreas, in many respects serves as a countersignal to insulin.