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[Childhood hypoglycemia: results of prospective evaluation protocols in children with up to 1 year of age].

Authors
  • Rodrigues, Ticiana C
  • Colli, Maikel
  • Czepielewski, Mauro A
Type
Published Article
Journal
Arquivos Brasileiros de Endocrinologia & Metabologia
Publisher
SciELO
Publication Date
December 2007
Volume
51
Issue
9
Pages
1493–1497
Identifiers
PMID: 18209892
Source
Medline
License
Unknown

Abstract

The aim of this study is to present the experience of applying hypoglycemia evaluation protocol. We performed a prospective study with 13 children with hypoglycemia symptoms at the Hospital of Clinicas of Porto Alegre, with range age 5.3+/-4.5 months and eight patients are female. The patients had been submitted to glucagon fasting test and blood glucose, lactate, pH, C peptide, insulin, fatty acids, TSH, GH, cortisol, and urine ketones were measured. Eight patients presented persistent hypoglycemia and five presented transitory hypoglycemia. The most frequent diagnosis was persistent hyperinsulinism. We suggest the use of a simple protocol for the evaluation of hypoglycemia, which contemplates the identifications of the main etiologies in children and facilitates the handling of these patients.

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