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 of all the Yin and Yang energy in the body. The Kidneys also govern the endocrine system, receive air from the lungs, govern bones, govern teeth, control water in the body, and store essence. Dysfunction of the Kidneys leads to deficiencies of Yin or Yang. It also leads to imbalanced hormones, weak bones, an impaired sex drive, and dizziness. Water in excess leads to bipolar disorder. Depressive episodes are characterized by Kidney Yin excess while manic episodes are characterized by Kidney Yang excess. The Kidney Meridian begins on the sole, moves up the inner leg to the groin, up the