Professional Documents
Culture Documents
Hypoglycaemia
Hypoglycaemia
Manifestation of hypoglycemia in
children:
Features associated with activation
of autonomic nervous system
Anxiety, sweating, pallor, palpitation,
weakness, hunger, tremulousness,
nausea, vomiting.
Assessment:
Majority of hypoglycemia happening after
over nigh fasting. Importantly minority occur
shortly after meals {hyperinsulinaemia}
Measure height and weight, small children
are prone to kenotic hypoglycemia.
Large liver with hypoglycemia in favor of
glycogen storage disease.
Presence of cataract indicate s
galactosaemia
High growth
hormone
High betahydroxy
butyrate
Low insulin
High cortisol
Normal lactate
Low growth
hormone
High betahydroxy
butyrate
Low insulin
Low cortisol
Normal lactate
High growth
hormone
High
betahydroxy
butyrate
Low insulin
High cortisol
High lactate
hormone
butyrate
Cortisol high
Lactate normal
Other causes
Aminoacidopathies
a- maple syrup urine disease
b- propionic acidaemia
C- methyl malonic acidaemia
d- tyrosinosis
Treatment
After taking blood investigation
Bolus of 10% glucose 3mls/kg to be given IV
then 10% dextrose infusion. This is for
neonate and for children
If neonate has asymptomatic hypoglycemia
Give oral feeding by bottle or tube then
check blood sugar an hour after if blood
sugar rise to accepted level then give
feeding every 2 hours.