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Question: From Georgia, USA:
My teenager had a blood sugar of 57 mg/dl [3.2 mmol/L] and was diagnosed with hypoglycemia in the emergency room. Could this have been a one time fluke? Should I have him tested more extensively now?
Answer:
A blood glucose of 57 mg/dl [3.2 mmol/L] is low-normal. You should discuss this with your teen's primary care provider, and if there is still some doubt, seek a pediatric endocrinology referral. The key is to document blood glucose levels frequently and, if they are really less than 60 mg/dl [mmol/L] with symptoms at the same time, get a simultaneous insulin, cortisol and growth hormone level to try to decide what is the possible cause. Often, all these values are normal and merely eating in a healthy fashion with 3 meals and 3 snacks containing protein stops the problem. However, go discuss this with your son's doctor, and perhaps an endocrinologist to be sure.
DTQ-20010426234802
Original posting 1 May 2001
Posted to Diagnosis and Symptoms and Hypoglycemia
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Last Updated: Sun Jan 15 12:18:28 2006
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