A child exhibits clear symptoms during infections or after vigorous exercise indicating hypoglycemia (low blood sugar) as well as increased levels of lactic acid in the blood, and may initially show as shakiness, irritability or even lethargy. The child has a diet similar to other children, so that is not the problem; however, it is noted that diet supplementation with the amino acid alanine is an effective treatment when symptoms show. Explain at least two possible metabolic rationales including what and how enzymes might be affected and their metabolic and physiological effects producing this individual’s condition.

A child exhibits clear symptoms during infections or after vigorous exercise indicating hypoglycemia (low blood sugar) as well as increased levels of lactic acid in the blood, and may initially show as shakiness, irritability or even lethargy. The child has a diet similar to other children, so that is not the problem; however, it is noted that diet supplementation with the amino acid alanine is an effective treatment when symptoms show. Explain at least two possible metabolic rationales including what and how enzymes might be affected and their metabolic and physiological effects producing this individual’s condition.