Hayashi M, Konishi K, Kameoka A, Mino M
J Nutr Sci Vitaminol (Tokyo). 1981;27(5):449-54. doi: 10.3177/jnsv.27.449.
Changes in serum free amino acids as a response to ketogenic provocative test were studied in children with a history of ketosis but without hypoglycemia. 1. Of the 17 children who underwent the provocative test, only three showed clinical manifestations. They were among five children who responded to the test and developed hypoglycemia. 2. Hypoglycemic and non-hypoglycemic children differed greatly in the decrement of serum total gluconeogenic amino acids after completion of the test due to the relatively lower levels before provocation in the hypoglycemic group and the inversely higher levels in the non-hypoglycemic group. 3. Gluconeogenic amino acids that decreased sharply after the test were glycine, alanine, glutamine and glutamate.
对有酮症病史但无低血糖症的儿童进行了研究，以观察血清游离氨基酸作为对生酮激发试验的反应的变化。1. 在接受激发试验的17名儿童中，只有3名出现了临床表现。他们在对试验有反应并发生低血糖的5名儿童之中。2. 低血糖组和非低血糖组儿童在试验完成后血清总糖异生氨基酸的减少量上有很大差异，这是因为低血糖组激发前水平相对较低，而非低血糖组则相反较高。3. 试验后急剧下降的糖异生氨基酸是甘氨酸、丙氨酸、谷氨酰胺和谷氨酸。
