Lab Tests
Home Remedies

Abdominal and Pelvic Trauma
Acute Angle-Closure Glaucoma
Bowel Obstruction
Central Vertigo
Fifth Metatarsal Fracture
Gastrointestinal Bleeding
Infant Botulism
Necrotizing Fasciitis
Optic Neuritis
Panic Disorder
Reye's Syndrome
Wound Botulism

Hypoglycemia and Electrolyte Abnormality

Pediatric patients with seizure occasionally have clinically significant abnormalities in glucose, electrolytes, calcium, or magnesium. Hypoglycemia is not uncommon in infants who have systemic stress because of hepatic dysfunction. Neonates and children with status epilepticus are also more likely to have serum chemistry abnormalities. In children under 1 year of age with status epilepticus, the most common disorders are hyponatremia and hypernatremia (23%), hypoglycemia (5%), and hypocalcemia (2%). Water intoxication related to inappropriate dilution of formula may be the cause of electrolyte abnormalities and seizures in infant


Hypoglycemia most common causes sach as includes:

  • Prematurity, intrauterine growth retardation, perinatal asphyxia
  • Maternal hyperglycemia due to diabetes
  • Prolonged fasting
  • Congenital hyperinsulinism several types, both transient and persistent
  • Inborn errors of carbohydrate metabolism such as glycogen storage disease
  • Insulin-induced hypoglycemia
    • Insulin injected for type 1 diabetes
    • Factitious insulin injection
    • Insulin-secreting pancreatic tumor
    • Reactive hypoglycemia and idiopathic postprandial syndrome
  • Sepsis
  • Living in areas with indigenous B sapida, having low socioeconomic status, and consuming certain ethnic cuisine predispose to exposure.
  • Risk factors include ingestion of unripe ackee fruit, canned ackee fruit, or water in which unripe ackee fruit has been cooked.


  • Vomiting
  • Diarrhea
  • Poor feeding


  • Prolonged seizures
  • Altered mental status
  • Clinical evidence of dehydration or shock
  • Hypothermia (rectal temperature < 36.5° C) ++++ in infants with hyponatremic seizures


The blood glucose can be raised to normal within minutes by taking 10-20 grams of carbohydrate. This amount of carbohydrate is contained in about 3-4 ounces of orange, apple, or grape juice, about 4-5 ounces of regular about one slice of bread, about 4 crackers, or 1 serving of most starchy foods. Starch is quickly digested to glucose, but adding fat or protein retards digestion. Symptoms should begin to improve within 5 minutes, though full recovery may take 10-20 minutes. Overfeeding does not speed recovery and if the person has diabetes will simply produce hyperglycemia afterwards.

If a person is suffering such severe effects of hypoglycemia that they should not be given anything by mouth, glucose can be given by intravenous infusion or the glucose can be rapidly raised by an injection of glucagon. Further details of glucagon use are provided in the article on diabetic hypoglycemia.


Web Diseasesatoz.org

Copyright Diseasesatoz.org All rights reserved.

Bookmark This Page:

Disclaimer: The information contained in this www.diseasesatoz.org web site is not intended as a substitute for medical advice. Everyone's specific situation is different from everyone else's and a health care professional should be consulted about any decision regarding your medical care. We will not be liable for any complications, or other medical accidents arising from the use of any information in this site.