Table 1.
Physiologic change in sepsis | Metabolic impact |
---|---|
Gluconeogenesis, glycolysis | Hyperglycemia |
l1;Protein catabolism | Altered circulating amino acids |
Lipolysis | Triglycerides, lipoproteins |
Micronutrients | Oxidative stress |
Neuroendocrine activation | Catecholamines, counterregulatory hormones |
Cortisol | Hyperglycemia |
Catecholamine release | Gluconeogenesis, glycolysis |
Cytokine release | Hyperglycemia, insulin resistance |
Impaired oxygen utilization | Reactive oxygen species |