Metabolic disorders- Carbohydrate metabolism

S.N. Process/Pathway affected Disease Major Manifestation
1) Digestion Lactose intolerance

Sucrase/Isomaltase deficiency

Inability to digest dairy products, bloating, pain- abdomen, diarrhea or constipation, etc.
2) Absorption (SGLT-1or SGLT-2 deficiency) Glucose/Galactose malabsorption

 

Impaired dietary glucose/galactose absorption (SGLT-1), or

Renal glycosuria (SGLT-2)

3) Glycolysis Hexokinase or Pyruvate kinase deficiency (

 

Hemolytic anemia
4) PDH Complex PDH complex Deficiency Failure to thrive, hypotonia and lactic acidosis, etc.
5) TCA Cycle Vital to life, no diseases as yet has been reported Fatal
6) HMP Pathway G-6-P dehydrogenase deficiency Hemolytic anemia or Jaundice
7) Gluconeogenesis An imbalance between demand and supply Hypoglycemia
8) Uronic acid pathway Essential pentosuria Benign and symptomless
9) Glycogen metabolism pathways Glycogen storage diseases Hypoglycemia decreased exercise tolerance and hepatomegaly (symptoms depend on tissue expression of the defect)
10) Fructose metabolism Fructosemia & Hereditary fructose intolerance Inability to digest fructose or fructose-containing nutrients
11) Galactose metabolism Galactosuria & Galactosemia Galactosuria (mostly benign)

Galactosemia- Premature cataract, mental retardation, hepatomegaly and jaundice

12) Blood glucose homeostasis Impaired glucose tolerance, Diabetes mellitus Classical symptoms of Polyuria, polydipsia, polyphagia, and the symptoms of complications.

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