AJCN 19th International Congress of Nutrition
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American Journal of Clinical Nutrition, Vol 31, 1870-1875, Copyright © 1978 by The American Society for Clinical Nutrition, Inc

ORIGINAL RESEARCH COMMUNICATIONS

The metabolic effects of hemodialysis with and without glucose in the dialysate

RL Wathen, P Keshaviah, P Hommeyer, K Cadwell and CM Comty

The present study compares some of the metabolic effects of hemodialysis of fasting patients with and without glucose in the dialysate bath. Unlike glucose dialysis, glucose-free dialysis caused marked decreases in blood levels of glucose, insulin, lactate, and pyruvate along with profound increases in acetoacetate and beta- hydroxybutyrate. It is concluded that oxidation of fatty acids increases to meet energy demands and that the combined processes of glycogenolysis and gluconeogenesis serve to prevent critical hypoglycemia during glucose-free dialysis.


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 Nutr Clin PractHome page
L. J. Hak and R. H. Raasch
Use of Amino Acids in Patients With Acute Renal Failure
Nutr Clin Pract, February 1, 1988; 3(1): 19 - 22.
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Copyright © 1978 by The American Society for Nutrition