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Abstract #0804

Profiling muscle substrate utilization in insulin-resistant subjects using 13 C-MRS at 7 Tesla

Douglas E Befroy 1,2 , Kitt Falk Petersen 2 , Douglas L Rothman 1,3 , and Gerald I Shulman 2,4

1 Diagnostic Radiology, Yale University School of Medicine, New Haven, CT, United States, 2 Internal Medicine, Yale University School of Medicine, New Haven, CT, United States, 3 Biomedical Engineering, Yale University School of Medicine, New Haven, CT, United States, 4 Howard Hughes Medical Institute, New Haven, CT, United States

Insulin resistance is accompanied by derangements in a variety of parameters of muscle metabolism including insulin-stimulated glucose disposal and glycogen synthesis as well as basal rates of mitochondrial metabolism. To date, technological and methodological limitations have required that each of these parameters be assessed as distinct experiments, which can complicate comparison between studies. We have developed an innovative dual 13 C-tracer method to assess muscle glucose utilization and oxidative metabolism during a single 13 C-MRS study at 7 Tesla. The ability to comprehensively examine muscle substrate utilization in vivo will advance our understanding of skeletal muscle metabolism.

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