Summary of
Effect of Acute Hyperketonemia on the Cerebral Uptake of Ketone Bodies in Nondiabetic Subjects and IDDM Patients
By
Purpose
To investigate whether acute elevation of blood ketones increases cerebral uptake of ketone bodies in both healthy individuals and insulin-dependent diabetics (IDDM).
Methods
Six nondiabetic controls and five IDDM patients received infusions of labeled acetoacetate and β-hydroxybutyrate, elevating blood ketones to ~1.7 mM. Cerebral uptake was measured using positron emission tomography (PET) to determine ketone transport and metabolism across the blood-brain barrier.
Results
In both groups, cerebral uptake of ketones increased linearly with plasma levels. IDDM subjects showed ketone utilization similar to controls, indicating insulin is not required for cerebral ketone transport. Uptake was most prominent in brain regions with high metabolic demand, such as the cortex and thalamus.
Conclusion
Acute hyperketonemia enables rapid brain uptake of ketones in both diabetic and non-diabetic individuals, offering an alternative energy substrate for cognitive and metabolic support—particularly in glucose-impaired conditions.