To: Board of Trustees, American Medical Association (AMA)
Gerald.Harmon@ama-assn.org
Jack.Resneck@ama-assn.org
Susan.Bailey@ama-assn.org
Bruce.Scott@ama-assn.org
Ilsa.egbert@ama-assn.org
Bobby.Mukkamala@ama-assn.org
Sandra.Fryhofer@ama-assn.org
Russ.Kridel@ama-assn.org
Scott.Ferguson@ama-assn.org
David.Aizuss@ama-assn.org
Madelyn.Butler@ama-assn.org
Willarda.Edwards@ama-assn.org
Jesse.Ehrenfeld@ama-assn.org
Drayton.Harvey@ama-assn.org
Pratistha.Koirala@ama-assn.org
Ilse.Levin@ama-assn.org
Thomas.Madejski@ama-assn.org
Mario.Motta@ama-assn.org
Harris.Pastides@ama-assn.org
Michael.Suk@ama-assn.org
Willie.Underwood@ama-assn.org
https://www.ama-assn.org/about/board-trustees/board-trustees-members
Re: Dextrose (Corn Sugar/D-Glucose) / Conflicting Molecular Formulas
As distinguished physicians, you are all aware that the reason corn sugar (dextrose/D-glucose)-containing IV fluids are contraindicated for administration to corn-allergic patients in the package insert is due to the fact that corn sugar is produced from cornstarch, 21CFR184.1857; and cornstarch contains allergenic corn proteins, which can prove fatal to anyone with an IgE-mediated allergy to corn. You are also aware that clinicians can be sued for medical malpractice for administering corn sugar (dextrose/D-glucose)-containing IV fluids to corn-allergic patients in direct violation of this contraindication warning, which is equivalent to administering penicillin to a patient with an allergy to penicillin.
We believe the reason many clinicians are endangering the lives of corn-allergic patients by telling them: "You cannot be allergic to dextrose, since dextrose is naturally present in humans," is due to the American Medical Association equating corn sugar (dextrose/D-glucose) with blood sugar naturally present in all living organisms (glucose) in their "Glossary of Medical Terms." Please provide us with your source for this claim.
"Dextrose- another name for the sugar glucose" [the source reference is not viable]
http://file.lacounty.gov/SDSInter/dmh/159358_AMAGlossaryofMedicalTerms_Ver1.0.pdf
Code of Federal Regulation, 21CFR184.1857, Corn Sugar (Dextrose/D-Glucose)
Glucose is sugar. If it is manufactured from cornstarch, it is classified as D-glucose/dextrose vs. glucose (blood sugar) that is naturally present in all living organisms.
Glucose: blood sugar essential for survival of all living organisms
D-Glucose: laboratory-created form of sugar produced from cornstarch (dextrose)
https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=184.1857
L-Glucose: laboratory-created form of sugar
Conflicting Molecular Formulas
https://www.accessdata.fda.gov/scripts/cdrh/cfdocs/cfcfr/CFRSearch.cfm?fr=184.1857
Google
search: Sugar, corn molecular formula
MF = C6H14O7
High Fructose Corn Syrup, Molecular Formula C6H14O7
Entry Terms:
Isoglucose, C6H14O7
Maize Syrup, C6H14O7
Syrup, Maize, C6H14O7
Glucose-Fructose Syrup, C6H14O7
Glucose Fructose Syrup, C6H14O7
Syrup, Glucose-Fructose, C6H12O6
Corn Sugar, C6H12O6
Sugar, Corn, C6H14O7
High-Fructose Maize Syrup, C6H14O7
High Fructose Maize Syrup, C6H14O7
Maize Syrup, High-Fructose, C6H14O7
Syrup, High-Fructose Maize, C6H14O7
https://www.ncbi.nlm.nih.gov/mesh/68066248
Note the following conflicting molecular formulas in this list:
Glucose
Fructose Syrup, C6H14O7
Syrup, Glucose-Fructose, C6H12O6
Corn Sugar, C6H12O6
Sugar, Corn, C6H14O7
I
have been a full-time corn allergy advocate for nearly eight years; and in my
effort to protect the lives of corn-allergic patients, I have distributed the
following blog post globally (including global media). We are requesting
the immediate correction of the definition the AMA has applied to dextrose
which is, in fact, corn sugar produced from allergenic cornstarch/D-glucose; and
can prove fatal to anyone with an IgE-mediated allergy to corn.
The American Medical Association (AMA) is intentionally
endangering the lives of corn-allergic citizens, and exposing clinicians to
potential liability. [Documented]
DEXTROSE IS CORN SUGAR!
https://cornallergyadvocacyresources.blogspot.com/2021/12/the-american-medical-association-ama-is.html
On
behalf of corn-allergic citizens, we would appreciate your immediate attention
to this critical concern.
Respectfully,
Diane
H., Corn Allergy Advocate
Corn Allergy Advocacy/Resources
https://cornallergyadvocacyresources.blogspot.com/
Email:
cornallergyinitiative@gmail.com
Twitter:
@CornAllergy911
Additional Reference:
My
December 3, 2021, Email to the National Library of Medicine/FDA/PDR Re:
Revision of PubChem CID 22814120 (Dextrose Monohydrate)
https://cornallergyadvocacyresources.blogspot.com/2021/12/my-december-3-2021-email-to-national.html
Addendum:
High Fructose Corn Syrup, Molecular Formula C6H14O7*
Entry Terms:
Isoglucose, C6H14O7
Maize Syrup, C6H14O7
Syrup, Maize, C6H14O7
Glucose-Fructose Syrup, C6H14O7
Glucose Fructose Syrup, C6H14O7
Syrup, Glucose-Fructose, C6H12O6
Corn Sugar, C6H12O6
Sugar, Corn, C6H14O7
High-Fructose Maize Syrup, C6H14O7
High Fructose Maize Syrup, C6H14O7
Maize Syrup, High-Fructose, C6H14O7
Syrup, High-Fructose Maize, C6H14O7
https://www.ncbi.nlm.nih.gov/mesh/68066248
*This
is exactly how this list appeared on
this website within the last month (copied directly from the website).
After I contacted the National Library of Medicine, the corresponding
molecular formulas were removed; however, they are clearly noted on the
corresponding PubChem documents.
Blog Post Reference:
My
December 14, 2021, Email to the Board of Trustees, American Medical Association
(AMA) Re: Dextrose (Corn Sugar) / Conflicting Molecular Formulas
https://cornallergyadvocacyresources.blogspot.com/2021/12/my-december-14-2021-email-to-board-of.html
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