Pediatric Hypoglycemia (Low Blood Sugar)

Pediatric Hypoglycemia (Low Blood Sugar)

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Summary

Hypoglycemia, or low blood sugar, occurs when the blood glucose falls below 70 mg/dl.  

Expanded Overview

Hypoglycemia can occur if your child is not eating enough carbohydrates at meals or snacks. It is important to be prepared with a Glucagon Emergency Kit, including 15g of fast-acting carbohydrates. 

Call 911 if the patient is unconscious or having a seizure followed by instructions given by your endocrinologist or primary care provider.

Normal glucose levels:

  • Before a meal: 80 – 130
  • 2 hours after a meal: less than 160

Causes

  • Not eating enough carbs at meals or snacks
  • Too much insulin or taking the wrong dose
  • Extra exercise
  • Illness with vomiting

Symptoms

  • Behavior / mood changes
  • Confusion / sleepiness
  • Hunger
  • Paleness
  • Seizure
  • Shaking
  • Sweaty
  • Unconscious
  • Weak

Treatment

Rule of 15

  • 15g fast acting carbohydrates
  • Retest glucose in 10-15 minutes
  • Repeat if necessary and contact your endocrinologist or primary care provider

 

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