A 3-year-old boy presented to emergency unit at 9:00 AM with history of difficult arousal from sleep
belongs to book: MCQs in Pediatrics Review of Nelson Textbook of Pediatrics|Zuhair M Almusawi, Hasanein Ghali|20th edition| Chapter number:11| Question number:11.66
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(C). Children with ketotic hypoglycemia have plasma alanine concentrations that are markedly reduced in the basal state after an overnight fast and decline even further with prolonged fasting. Alanine, produced in muscle, is a major gluconeogenic precursor.
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