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Endogenous hypoglycaemia in children: endocrine perspective

Publication at Second Faculty of Medicine |
2008

Abstract

Endogenous hypoglycemia is a rare, very very serious symptom in children. They can be life-threatening.

Persistent or recurrent hypoglycaemia in infants and toddlers rapidly and irreversibly damages the central nervous system and is therefore an important and quick solution. Hypoglycaemia can be caused by a disorder of the hormonal regulation of glycaemia (overproduction of danger, lack of cortisol or growth hormone) or a failure of energy metabolism affecting congenital metabolic disorders.

Every newborn with normal birth masses and without an additional health risk, with a hypoglycaemia below 2.2 mmol / l, should be examined and monitored at a qualified workplace. In children with symptoms resembling epilepsy, hypoglycaemia during an attack could always be ruled out.

Blood and urine collection in hypoglycemia is crucial for a quick and positive diagnosis. An "ex post" investigation is at risk, more lengthy and you are looking for the right conclusion.

It is possible that your doctor is looking for a patient to keep the biological material from the attack safely and sent it together with the patient for examination at the clinical site. Possible inappropriate glucose infusions in personal intercurrent infection with decreased food intake and / or vomiting.