From Fenton, Michigan, USA:
My three and one-half year old son has been diagnosed with ketotic hypoglycemia. He has had two events in which he had seizures that occurred early in the morning before breakfast. Our doctors said to feed him frequently, which we are. We have also eliminated enriched flour and refined sugar products. What exactly is ketotic hypoglycemia, and what else should we be doing for him? We feel he could wake up and have a seizure any morning. Any neurologic and metabolic disorders have been eliminated.
Ketotic hypoglycemia is not very well understood. It sounds like you are doing all the right things in avoiding simple carbohydrates and making sure that he always has something with protein and fat every three to four hours. When he is ill, it may also be important to wake him up and feed him in the middle of the night since illness often can trigger such severe episodes of hypoglycemia. The key medical workup includes making sure that there is not an excess insulin level at the same time a documented low blood glucose level is measured. There are also several metabolic syndromes in which hypoglycemia occurs in this fashion, so it is important to check for them, as well as for liver, adrenal, and pituitary problems. Working closely with your pediatric endocrinologist, being able to check capillary blood glucose readings, and knowing under which circumstances (e.g., illness) to do special feedings will help you to deal with this issue. Often, it goes away within a few years' time.
Original posting 2 Oct 2000
Posted to Hypoglycemia
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