Guest guest Posted January 20, 2004 Report Share Posted January 20, 2004 It started with back in Feb 03, glucose started rising overnight, dietican clicked when he was admitted to hospital (lost seizure control big time) that he must be using muscle mass, only explanation there could be as his cal level was way below what it should have been (he had a ree dx test and it showed he was over 300 cals below his required level). So it couldn't have been from excess cals and excess glycogen stores. Endocrinoligist we talked to a few mths later said he thinks that about 3 mths prior (looked at growth charts) is when the catabolic process started with him. What happens is a chain of events type scenario - when catabolic, it can result in metabolic derangement, and therefore what we thought was going 'in' was not neccessarily was happening as far as D's metabolism was concerned. He started abnormally storing fat whilst using muscle mass to top up his energy requirements, and a bone dexa scan we had done in August confirmed that he was in a bit of a sorry state.... That is why we missed the signs we were waiting for to increase cals, the scales were just not budging (he had been sl overweight), he switched from anabolic to catabolic wothut us realising, and was therefore abnormally storing fat - hence the zero movement in either height or weight. The muscle mass loss he was experiencing was cancelling out the gain from the fat storage and vice versa. So - regular glucose testing after fasting, a ree dx test and bone dexa scan (full body fat/muscle mass distribution analysis) might be the tools you need to see if this could be happening with . We seem to have (so far) escaped bone density problems with through all of this, his bone density is the only thing that DID test normal - yet that was the reason the dexa test was originally ordered.... > , How did you figure this out? I'm aways asking (worried) about > this, but the doc keeps telling me that muscle will not be broken down > (in significant amounts) until the fat stores are not readily available. > Did you detect protein in the urine? My is barely growing, so I > worry about this (along with a million other things). Enlighten me! > Thanks, > Kathy Quote Link to comment Share on other sites More sharing options...
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