Glucose Metabolism Disorders Clinical Trial
Official title:
Are Heterozygous Carriers for Hereditary Fructose Intolerance Predisposed to Metabolic Disturbances When Exposed to Fructose?
Background: High fructose intake increases blood lactate, triglyceride and uric acid
concentrations. Uric acid may contribute to insulin resistance and dyslipidemia in the
general population. In patients with hereditary fructose intolerance fructose consumption is
associated with acute hypoglycemia, renal tubular acidosis, and hyperuricemia.
Objective: We investigated whether asymptomatic carriers for hereditary fructose intolerance
(HFI) would have a higher sensitivity to adverse effects of fructose than the general
population.
Design: Eight subjects heterozygous for HFI (hHFI; 4 males, 4 females) and eight controls
received for 7 days a low fructose diet and on the eighth day ingested a test meal calculated
to provide 25% of basal energy requirement containing labeled fructose (13C fructose 0.35
g/kg), protein (0.21 g/kg) and lipid (0.22 g/kg). Total fructose oxidation, total endogenous
glucose production (by 6,6-2H2-glucose dilution), carbohydrate and lipid oxidation, lipids,
uric acid, lactate, creatinine, urea and amino acids were monitored for 6 hours.
n/a
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