Author Question: Define the alanine shunt and in what disease it is used. ... (Read 12 times)

james9437 · **on:** Aug 20, 2018

Define the alanine shunt and in what disease it is used.

Question 2

Identify goals and tasks for the resolving phase for each of the three motivational levels in the motivational nutrition counseling algorithm.

smrerig · **Reply #1 on:** Aug 20, 2018

Answer to Question 1

The alanine shunt is a process that allows glucose production from protein sources through conversion of the amino acid alanine to pyruvate to glucose in the liver; the glucose produced can then be used in the muscle to generate additional alanine. In glycogen storage disease type III, protein is used as an alternative source of glucose production, via the alanine shunt, since the use of carbohydrates is compromised due to the glycogen debranching enzyme malfunction.

Answer to Question 2

1) Not ready is the first level and the goal is to raise doubt about the present dietary behavior and the major task is to inform and facilitate contemplation of change.
2) Unsure is the second level and the goal is to build confidence and increase motivation to change dietary behavior and the major task is to explore and resolve ambivalence.
3) Ready is the third level and the goal is to negotiate a specific plan of action and the major task is to facilitate decision making.