Episode 921: Pediatric Hypoglycemia

Emergency Medical Minute

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Contributor: Taylor Lynch, MD

Educational Pearls:

When it comes to hypoglycemia, the age dictates possible causes

Neonate:

Hormonal deficiency

Congenital Adrenal Hyperplasia (21-hydroxylase deficiency, 11β-hydroxylase deficiency)
Primary or Secondary Adrenal Insufficiency leading to cortisol deficiency
Hypopituitarism

Inborn errors of metabolism
Systemic infection (Under 30 days old should trigger a full infectious workup)

Toddler

Accidental ingestions

Sulfonylureas such as glipizide or glyburide

Older children

Addison’s Disease (Hypocortisolism)
Accidential or intentional ingestions
Exogenous insulin

How is it diagnosed?

Child or infant

Glucose

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