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Hypoglycemia

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Endocrine Conditions in Pediatrics

Abstract

Hypoglycemia can occur in any age group, but the presentation and cause can vary depending on the age of the child. A thorough history and physical exam will often narrow down the cause, even before the investigations are completed. It is important to remember that the majority of the initial bloodwork done to evaluate hypoglycemia is ideally done while the child is hypoglycemic, with a “critical sample,” when possible. The recognition and treatment of hypoglycemia is important as recurrent hypoglycemia can have short- and long-term adverse effects.

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References

  1. Whipple A. The surgical therapy of hyperinsulinism. J Int Chir. 1938;3:237–76.

    Google Scholar 

  2. Thornton PS, Stanley CA, De Leon DD, Harris D, Haymond MW, Hussain K, et al. Recommendations from the Pediatric Endocrine Society for evaluation and management of persistent hypoglycemia in neonates, infants, and children. J Pediatr. 2015;167(2):238–45.

    Article  Google Scholar 

  3. Sinclair JC. Approaches to the definition of neonatal hypoglycemia. Acta Paediatr Jpn. 1997;39(Suppl 1):S17–20.

    PubMed  Google Scholar 

  4. Cornblath M, Hawdon JM, Williams AF, Aynsley-Green A, Ward-Platt MP, Schwartz R, et al. Controversies regarding definition of neonatal hypoglycemia: suggested operational thresholds. Pediatrics. 2000;105(5):1141–5.

    Article  CAS  Google Scholar 

  5. Hoseth E, Joergensen A, Ebbesen F, Moeller M. Blood glucose levels in a population of healthy, breast fed, term infants of appropriate size for gestational age. Arch Dis Child Fetal Neonatal Ed. 2000;83(2):F117–9.

    Article  CAS  Google Scholar 

  6. Diwakar KK, Sasidhar MV. Plasma glucose levels in term infants who are appropriate size for gestation and exclusively breast fed. Arch Dis Child Fetal Neonatal Ed. 2002;87(1):F46–8.

    Article  CAS  Google Scholar 

  7. Nicholl R. What is the normal range of blood glucose concentrations in healthy term newborns? Arch Dis Child. 2003;88(3):238–9.

    Article  Google Scholar 

  8. Narvey MR, Marks SD. The screening and management of newborns at risk for low blood glucose. Paediatr Child Health. 2019;24(8):536–44.

    Article  Google Scholar 

  9. American Diabetes A. 6. Glycemic targets: standards of medical care in diabetes-2019. Diabetes Care. 2019;42(Suppl 1):S61–70.

    Article  Google Scholar 

  10. Mukherjee E, Carroll R, Matfin G. Endocrine and metabolic emergencies: hypoglycaemia. Ther Adv Endocrinol Metab. 2011;2(2):81–93.

    Article  CAS  Google Scholar 

  11. Styne DM. Pediatric endocrinology a clinical handbook. 1st ed. Cham: Springer International Publishing; 2016.

    Google Scholar 

  12. Bateman BT, Patorno E, Desai RJ, Seely EW, Mogun H, Maeda A, et al. Late pregnancy beta blocker exposure and risks of neonatal hypoglycemia and bradycardia. Pediatrics. 2016;138(3):e20160731.

    Article  Google Scholar 

  13. Ellaway CJ, Silinik M, Cowell CT, Gaskin KJ, Kamath KR, Dorney S, et al. Cholestatic jaundice and congenital hypopituitarism. J Paediatr Child Health. 1995;31(1):51–3.

    Article  CAS  Google Scholar 

  14. Bougneres PF, Lemmel C, Ferre P, Bier DM. Ketone body transport in the human neonate and infant. J Clin Invest. 1986;77(1):42–8.

    Article  CAS  Google Scholar 

  15. Chaussain JL, Georges P, Calzada L, Job JC. Glycemic response to 24-hour fast in normal children: III. Influence of age. J Pediatr. 1977;91(5):711–4.

    Article  CAS  Google Scholar 

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Correspondence to Katherine Jane Pundyk .

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Pundyk, K.J., Marks, S.D. (2021). Hypoglycemia. In: Stanley, T., Misra, M. (eds) Endocrine Conditions in Pediatrics. Springer, Cham. https://doi.org/10.1007/978-3-030-52215-5_8

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  • DOI: https://doi.org/10.1007/978-3-030-52215-5_8

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