Evaluate for Underlying Cause of Hypoglycemia If laboratory

studies can be efficiently obtained, this should be accomplished prior to therapy.

VI. Problem Case Diagnosis. The 3-year-old child has ketotic hypoglycemia. (For further discussion, see Teaching Pearl: Answer, below.)

VII. Teaching Pearl: Question: What is the most common cause of hypoglycemia in children, and how is it treated?

VIII. Teaching Pearl: Answer: Ketotic hypoglycemia is the most common cause of hypoglycemia in children. Immediate treatment consists of the administration of glucose (oral glucose if patient can be aroused and airway is intact). Children with this condition are instructed to avoid fasting, especially during times of intercurrent illness, and to have frequent carbohydrate-rich meals.

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