1959 Volume 32 Issue 12 Pages 916-926
The total reducing substance and true blood sugar level were measured with the Hagedorn-Jensen method (H) and Fujita-Iwatake method (F) with “ekiri” patients in order to investigate the dynamics of development of this condition. The results were as follows:
1. The blood sugar level of 10 healthy infants early in the morning were as follows:
101-81 mg/dl, average 91.1 mg/d1 arterial blood (H)
101-77 mg/dl, average 88.1 mg/dl venous blood (H)
99-75 mg/dl, average 86.0 mg/dl arterial blood (F)
95-70 mg/dl, average 82.4 mg/dl venous blood (F)
In all cases H was higher than F.
The concentration of reducing non-glucose substance (H-F):
11.0-2.0 mg/dl, average 6.0 mg/dl arterial blood
7.0-3.0 mg/dl, average 5.7 mg/dl venous blood
2. The sugar level after H rose till 20 hrs after the onset, then dropped rather deeply between 30-48 hrs., mounting thereafter gradually again to the normal level. F showed, though low, the same curve. The curve in dysentery demonstrated also in the acute stage an increasing tendency, though the shift was far smaller than “ekiri”
3. Regarding the difference between arterial and venous level after H and F, the latter was higher than the former in a fairly great mumber of “ekiri” cases. Consequently, it seemed that in the height of “ekiri” adrenalin stimulation took place incontinually and frequently, causing a mobilisation of true sugar together with reducing nonglucose substances. All cases of dysentery demonstrated the following relation: arterial level>venous level except 3 cases (H) and one case (F).
4. Regarding the concentration of the residual reducing substances (H-F), the shift was greater in “ekiri” than in dysentery.
This fact suggests that it was the residual reducing substances other than true sugar which increased in the acute stage of “ekiri”. On the other hand, concerning the difference between arterial and venous (H-F), “ekiri” as well as dysentery showed the relation venous>level arterial level, which was, however more remarkable in “ekiri” than in dysentery. It was supposed that non-glucose reducing substances came into the blood stream, and driven off from the muscle because of muscle spasm. This might be the essential difference between “ekiri” and dysentery.
