In 56 diabetics, 24-h urinary excretion of 5-aminolevulinic acid (ALA) and porphobilinogen (PBG) was determined by the method of Mauzerall and Granick. There was no significant difference between the mean values obtained for these patients, as compared with the control group (40 subjects). No correlation was also found between ALA and PBG excretion, as calculated against body weight, duration of diabetes and kind of treatment. There was a high degree of correlation between the excretion of ALA and diuresis (r xz =+0.75), as well as glycosuria (r yz =+0.66), whereas the correlation between the excretion of PBG and diuresis, as well as glycosuria, was low. In uncontrolled diabetes with ketonuria, (10 subjects), a significant increase in the excretion of ALA, with unchanged excretion of PBG, was observed. — In healthy subjects, there was no significant correlation between the ALA and PBG excretion and diuresis. The determination of the urinary ALA and PBG excretion during water diuresis and during osmotic diuresis induced by intravenous infusion of hypertonic glucose solution in healthy subjects, disclosed evidence testifying against the effect of glucose on ALA reabsorption in the renal tubules. — The present findings are interpreted by the authors as resulting from enhanced ALA synthetase activity and impaired ALA dehydrase activity in uncontrolled diabetes; these disturbances being related to the defective intracellular glucose metabolism and reduced ATP production.
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