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NEUROLOGY 2003;61:997-1000
© 2003 American Academy of Neurology
Brief Communications

Patients with severe muscle wasting are prone to develop hypoglycemia during fasting

M. C. Ørngreen, BS, M. Zacho, BS, A. Hebert, BS, M. Laub, MD and J. Vissing, MD PhD

From the Department of Neurology (M.C. Ørngreen, M. Zacho, A. Hebert, and Dr. Vissing), the Copenhagen Muscle Research Center, and Respiratory Center East (Dr. Laub), National University Hospital, Rigshospitalet, Copenhagen, Denmark.

Address correspondence and reprint requests to Dr. John Vissing, Director, Neuromuscular Clinic, Department of Neurology 2082, National University Hospital, Rigshospitalet, Blegdamsvej 9, DK-2100 Copenhagen, Denmark; e-mail: vissing{at}rh.dk

The authors investigated whether hypoglycemia develops during 23 hours of fasting in patients with Duchenne dystrophy (7 patients), spinal muscular atrophy (4 patients), and congenital myopathy (2 patients), all with residual muscle mass <10% of body weight. All patients with spinal muscular atrophy and congenital myopathy and one patient with Duchenne dystrophy, but none of six healthy subjects, developed hypoglycemia. Skeletal muscle is an important source of gluconeogenic substrates during fasting. Hypoglycemia must be considered in patients with low muscle mass, especially during surgery and febrile episodes.

Received March 27, 2003. Accepted in final form June 10, 2003.




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