Using a simplified steady state model of in vivo carbohydrate metaboli
sm representing various conditions of glucose loading after a fast, we
compare true values of carbohydrate oxidation with values calculated
by the approaches of Wolfe or of Tappy which are based on the use of i
sotopes, using their types of corrections for incomplete recovery of l
abelled CO2. These isotopic approaches are shown to be not consistentl
y accurate. Also, for the strongly fasted state in which glycogenolysi
s is negligible, these isotopic approaches are plainly illogical, plas
ma glucose being simply an intermediate in glucogenic amino acid and i
n lipid glycerol oxidation.