HYPOGLYCEMIA

Hypoglycemia Suspect in any child who is unwell and has decreased level of consciousness Neonates: < 2.6 mmol/L Beyond neonatal period: < 4.0 mmol/L Causes of Hypoglycemia Decreased Substrate Prolonged fast (e.g., Malnutrition, Neglect, Disordered Eating) Prematurity Small for Gestational Age Endocrine Hyperinsulinism Decreased Counter-regulation: Panhypopituitarism Growth hormone deficiency ACTH deficiency Hypothyroid Adrenal insufficiency Metabolic Metabolic Disease Increased Demand Sepsis Congestive Heart Failure Renal Failure Shock Poisoning/Intoxication (e.g., Insulin, Sulfonylurea drugs) ⚠️ Potentially acutely life-threatening presentation Indicates Key Condition This is not an exhaustive list of medical conditions.