These events may retard the occurrence of fasting and hypoglycemia and explain the wide range of blood acylcarnitines (C8 and C8/C10 levels) in affected patients even if such levels are compared in different patients (Pt12 and Pt14) carrying the same (c.985A>G, p.Lys329Glu) ACADM gene mutation. The gene discussed is ACADM; the disease is Hypoglycemia.