Hypoglycaemia Flashcards
1
Q
What is the definition of hypoglycaemia requiring investigation?
A
<2.5mmol/L blood sugar in a non-diabetic child
2
Q
What is the most common cause of hypoglycaemia in children between 18 months and 5 years of age?
A
Ketotic hypoglycaemia
3
Q
What are the common causes of hypoglycaemia in children?
A
- Ethanol and salicylate ingestion
- Inborn errors of metabolism
- Adrenal/pituitary disorders
- Insulinoma
4
Q
What is this a presentation of?
Sweating, tremor, hunger tachycardia, confusion, behaviour changes, lethargy, seizures, coma.
A
Hypoglycaemia
5
Q
How is hypoglycaemia investigated?
A
- Low cortisol - adrenal insufficiency
- High insulin - hyperinsulinism
- C-peptide - present in endogenous, not exogenous insulin
- Low GH - GH deficiency
6
Q
What is the treatment for hypoglycaemia?
A
Glucose and complex carbohydrate snack
