Glycogen storage disease type 0 liver provides a steady source of glucose from glycogen breakdown (or glycogenolysis). With prolonged fasting, glucose is generated in the liver from noncarbohydrate precursors through gluconeogenesis. Such precursors include alanine (derived from the breakdown of proteins in skeletal muscle) and glycerol (derived from the breakdown of triacylglycerols in fat cells). In patients with glycogen-storage disease type 0, fasting hypoglycemia occurs within a few hours after a meal because of the limited stores of hepatic glycogen and inadequate gluconeogenesis to maintain normoglycemia. Feeding characteristically results in postprandial hyperglycemia and glucosuria, in addition to increased blood lactate levels, because glycogen synthesis is
The body in traditional Chinese medicine trunk, and ends under the collarbone. (2)The Bladder, a Yang organ, stores and removes fluid from the body by receiving Kidney chi. Imbalance of the Bladder leads to frequent or uncontrolled urination. The Bladder Meridian begins in the corner of the eye, moves down the back, and ends on the back of the knee. The Bladder also has another line, which starts alongside the previous line, moves down to the outer edge of the foot and ends on the small toe. The body in traditional Chinese medicine The model of the body in traditional Chinese medicine (TCM) has the following