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2013;8(1):e53707

In a suspected case of CPT II deficiency the following are considered: (1) dextrose infusion to prevent catabolism till special milk feeds can be arranged, (2) a high carbohydrate and low-fat diet to provide substrate for glycolysis, (3) avoidance of known triggers, e.g., fasting, illness etc., (4) urgent IEM screen/genetic testing/echocardiography/and ultrasound scan of the brain and kidneys, (5) MCT supplementation, (6) intensive care monitoring, and (7) a multidisciplinary team including metabolic specialists and palliative care doctors

D: 5,7 g

Specifics and limitations

PLos One 9(7):e100627 Jiang Q, Jiang G, Shi KQ, Cai H, Wang YX, Zheng MH (2013) Oral acetyl-L-carnitine treatment in hepatic encephalopathy: view of evidence-based medicine

A study conducted in 10,038 people with normal blood pressure or pre-hypertension demonstrated dyslipidemia as a strong predictor of development of type 2 diabetes [87]