From America On-Line:
My 10 year old was just diagnosed with hypoglycemic episodes. We were told to give her protein with three meals a day plus one protein snack prior to bedtime. I am finding tons of information about hypoglycemia, but not if one is just having episodes. She has experienced syncope and reacted to the three-hour glucose tolerance test. We are to go for a dietary consult. What can I expect for her future? Can this be controlled with diet? Will she outgrow this? Will it worsen to type 1 diabetes?
I am always reluctant to diagnose hypoglycemia. I personally believe that a glucose tolerance test is not the best way to diagnose hypoglycemia. I prefer to teach patients to monitor glucose and actually test when symptomatic. I usually find the symptoms and the glucoses don't match, because hypoglycemia is actually very rare in children (not infants mind you). Syncope can come from a lot of other causes, fluid balance, heart problems, and even seizures. It requires a careful evaluation.
The standard dietary consult consists of frequent feeding and the use of foods that help prolong the glycemic effect, complex carbohydrates and some protein.
Original posting 10 Sep 2000
Posted to Hypoglycemia
Last Updated: Tuesday April 06, 2010 15:09:12
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