How is hypoglycemia caused in children

summary

In daily life, many patients are prone to hypoglycemia, especially the middle-aged and elderly people. We have heard that the incidence of hypoglycemia in children is also very high. Why are children prone to hypoglycemia? What kind of reasons can cause such problems? For children with hypoglycemia, the cause of the disease should be understood in detail.

How is hypoglycemia caused in children

1. Insufficient glucose matrix in neonatal period: the high incidence of hypoglycemia in premature infants and low birth weight infants is mainly due to the insufficient reserves of liver glycogen and muscle glycogen, body fat becomes the main material for energy supply, and the main causes of hypoglycemia are small infants, especially premature infants and immature infants or the damaged supply of placental nutrition, and the insufficient development of enzyme system required for gluconeogenesis We need to know why. 　　

2. Neonatal hyperinsulinemia: infants born to diabetic mothers may have temporary hyperinsulinemia. The incidence of gestational diabetes mellitus is about 2%. Most of these infants are large, blood rich, and have sufficient storage of glycogen, protein and fat. Newborns born to diabetic mothers have hyperinsulinemia and reduced secretion of glucagon, which is different from normal newborns Sympathetic nerve is excited, adrenaline in adrenal medulla is exhausted, so the production of endogenous glucose is reduced, which is prone to hypoglycemia. 　　

3. Hyperinsulinemia in infants and children: hyperinsulinemia can occur at any age, neonatal hyperinsulinemia may not be caused by diabetic mothers, when the clinical symptoms of hypoglycemia in infants, such as paroxysmal weakness, nervousness or seizures, blood should be taken to measure blood glucose and insulin at the same time, normal situation when blood glucose < 2.2mmol/l (40mg / dl) The blood insulin concentration should be < 5 u = " If hypoglycemia occurs more than twice and the insulin level is high, it can be diagnosed as hyperinsulinemia. Some infants or children are small and have hypoglycemia without eating. In short, hyperinsulinemia can be diagnosed when hypoglycemia and hyperinsulinemia are both more than 10 μ U / ml.

matters needing attention

The above gives you a detailed introduction of a lot of knowledge about children's hypoglycemia, especially for children, once hypoglycemia occurs, it has a great relationship with the child's health, especially for the cause of hypoglycemia in children, there are many, but also very complex, so it is important to pay attention to the clinical symptoms of hypoglycemia in children.