Patient's question:
Accompanied by a pale mouth, staring eyes, twitching hands and feet, blood sugar dropped to 2.58. Since April 2009 to the present, experiencing cold sweat, irritability, poor appetite, and low spirits. Treatment situation: low blood sugar investigation, but the cause has not been identified. All necessary tests have been conducted, but no factors or underlying causes have been found.Doctor's answer:
Low blood sugar, also known as hypoglycemia, refers to a condition in children where the blood glucose concentration is less than or equal to 2.8 millimoles per liter, accompanied by clinical symptoms. Hypoglycemia results from the loss of dynamic balance in various factors that regulate glucose metabolism. The factors or causes of hypoglycemia in children include:⑴ Ketotic hypoglycemia;
⑵ Hyperinsulinemia caused by B-cell hyperplasia or dysfunction of insulin-producing cells;
⑶ Glycogen storage diseases such as hepatic glycogenosis and galactosemia due to enzyme deficiencies in the liver;
⑷ Pituitary and adrenal cortical insufficiency.
The most common factor or cause of hypoglycemia in children is ketotic hypoglycemia, accounting for 55%–70% of cases. It is more prevalent in infants and toddlers aged 9 months to 5 years and often occurs after infections, vomiting, or prolonged hunger. It typically resolves naturally before the age of 8–9 years. Boys are twice as likely to be affected as girls, and most cases occur in the morning.
Medical Advice:
Children's blood glucose levels can drop to 2.2–2.8 millimoles per liter, often accompanied by ketosis and ketonuria. In older children, symptoms may include hunger, pallor, sweating, weakness, thirst, headache, drowsiness, or even seizures. Oral glucose solutions or intravenous glucose injections can quickly alleviate symptoms. During remission periods, children are generally in good health, but they may appear thinner than their peers of the same age.