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Abstract
Ingestion of medium chain triglycerides (MCT) results in a quantitatively reproducible
increase of acetone concentrations in end-expiratory air as measured by gas chromatography.
Acetone concentrations rise rapidly, reach a maximum several hours after ingestion
of MCT and gradually return to base-line values. Under standardized conditions, ingestion
of increasing amounts of MCT results in increasing acetone concentrations. Repeated
tests in the same subject are reproducible within narrow limits. The acetone response
is quantitatively suppressed by the administration of increasing amounts of sucrose.
Maximal acetone concentrations increase with prolongation of fasting before ingestion
of MCT. Three insulin-dependent diabetics had an acetone response in the MCT test
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times greater than the mean response of 4 normal subjects. The acetone response of
a thiazide-induced diabetic was normal. Interpretation of the results of MCT tests
in normal subjects is that the magnitude of ketosis in man is the result of carbohydrate
deficiency relative to the amount of fat entering the liver. The MCT test is a means
of measuring the tendency of a subject to develop ketosis in response to a standardized
fat load and may be useful for the classification of diabetes mellitus.
times greater than the mean response of 4 normal subjects. The acetone response of
a thiazide-induced diabetic was normal. Interpretation of the results of MCT tests
in normal subjects is that the magnitude of ketosis in man is the result of carbohydrate
deficiency relative to the amount of fat entering the liver. The MCT test is a means
of measuring the tendency of a subject to develop ketosis in response to a standardized
fat load and may be useful for the classification of diabetes mellitus.To read this article in full you will need to make a payment
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Article info
Publication history
Received:
July 20,
1966
Footnotes
☆This investigation was supported in part by PHS grants AM-5172 and FR-5362, and FR-82.
Identification
Copyright
© 1966 Published by Elsevier Inc.
