Diagnosis and management of hypoglycaemia beyond the neonatal period

摘要: Abstract Hypoglycaemia in childhood beyond the neonatal period is a relatively common problem and defined as plasma glucose level of less than 2.8 mmol/litre. If it not recognised treated promptly, can lead to significant morbidity mortality. has many varied causes, including endocrine disorders, inborn errors metabolism, poisoning, severe infections ketotic hypoglycaemia (which should be diagnosis exclusion). When possible, blood urine samples determine cause taken before treatment instigated, some abnormalities are unmasked only during episode low sugar. Once been identified, may involve avoidance prolonged fasting, dietary manipulation, medication or even surgery.