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Question: From Santa Rosa, California, USA: Are there thermogenic effects from hypoglycemia and hyperglycemia? Answer: The availability of glucose is central to the body's supply of energy. However, the highly developed mechanisms to use protein and especially fat as alternative fuels prevents any change in body temperature except in extreme circumstances. Stress however, especially that due to intercurrent infection, may affect blood sugar levels. In small children, loss of appetite may lead to carbohydrate deprivation, low blood sugar and mild ketosis, the so-called ketotic hypoglycemia. In diabetes, stress may increase metabolic needs; but without extra insulin extra glucose cannot be metabolised, and consequently there is hyperglycemia. DOB DTQ-20031013060556 Original posting 19 Oct 2003 Posted to Hypoglycemia and Hyperglycemia and DKA

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