From Tampa, Florida, USA:
My son is four years old. Since he was two months old, he has had "shaking episodes". Doctors performed an EEG (he started shaking while drinking his bottle, but the brain showed nothing)and reflux (also showed nothing) testing. He was also seen by an endocrinologist and a blood test was performed with a very bad report when he was one year old. This test was redone when he was 18 months old and came back okay. Since then, he shakes with no control (but not like a seizure) when he awakes, is sick with a fever, or in the late evening.
My pediatrician has referred us to a neurologist. He will be doing a CAT scan in three weeks. In the meantime, the doctor recommended that I check his blood sugar with a meter. I borrowed this from a family member who has diabetes. I was asked to do this at the times he was shaky. The first time it was in the morning when he awoke and it was 33 mg/dl (1.8 mmol/L). The next time it was late in the evening on a weekend and it was 42 mg/dl (2.3 mmol/L). Based on what I am seeing/reading as I look into this, it should be somewhere between 60 and 100 mg/dl (3.3 and 5.6 mmol/L). Is this something I should notify the doctor about as soon as possible or should I wait until we see the doctor after the CAT scan is completed? This is all very new to me and I am getting worried the more I read about it. His "shaking" has been going on and is so noticeable at the times mentioned above. I have always discussed this with his doctors, but the tests (until I did my own) always ended up okay. I am concerned he might have hypoglycemia.
Although it is sometimes easy to estimate blood sugars too low using a borrowed glucose meter, I think you should tell your doctor at once about the low readings you have obtained. Blood sugar levels may already have been checked out. Even if not, there could still be a fairly simple explanation for all of this. However, with the early onset and the 'shaking' episodes, I feel quite strongly that this needs to be explored fully and as a matter of some urgency by a pediatrician. If low blood sugars are confirmed, you will need some help right away with plans keep blood sugars nearer to normal levels.
Original posting 10 Sep 2000
Posted to Hypoglycemia
Last Updated: Tuesday April 06, 2010 15:09:12
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