This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Endocrinology, Subject name: Biochemistry
Factors responsible for ketosis in a patient of von Gierke&;s disease are all, except 
Select and explain. 
A. Hypoglycemia, B. Impaired gluconeogenesis, C. Impaired glycogenolysis, D. Low fat mobilzation
D: Low fat mobilzation
Answer: D: Low fat mobilzation 
Explanation: Glucose -6- phosphate deficient Fasting hypoglycemia that doesn&;t respond to stimulation by adrenaline In starvation, the dietary supply of glucose is decreased. Available oxaloacetate is channeled to gluconeogenesis. The increased rate of lipolysis is to provide altenate source of fuel.Ref: DM Vasudevan, 7th edition, page no: 165