Pediatric hypoglycemia (low blood sugar)

Pediatric hypoglycemia (hy·po·gly·ce·mia) or low blood sugar, occurs when the blood glucose falls below 70 mg/dl.

Dallas

214-456-5959
Fax: 214-456-5963

Plano

469-303-2400
Fax: 469-303-2407

Park Cities

469-488-7000
Fax: 469-488-7001

Request an Appointment with codes: Endocrinology

Refer a Patient

Accepted Insurance Plans

What is pediatric hypoglycemia (low blood sugar)?

Hypoglycemia can occur if your child is not eating enough carbohydrates at meals or snacks. However, low blood sugar levels may differ depending on your child's age. It is important to be prepared with a glucagon emergency kit, including 15g of fast-acting carbohydrates.

Call 911 if the patient is unconscious or having a seizure followed by instructions given by your endocrinologist or primary care provider.

Normal glucose levels:

Before a meal: 80 – 130
2 hours after a meal: less than 160

What are the signs and symptoms of pediatric hypoglycemia (low blood sugar)]?

Aggression
Behavior changes
Blurred vision
Confusion
Convulsions or Seizure
Crying
Dilated pupils
Dizziness
Drowsiness
Fatigue
Headache
Hunger
Inability to concentrate
Irritability
Leg cramps
Nervousness
Nightmares
Paleness
Shakiness
Stomachache
Unconsciousness
Weakness

Symptoms may also be noticed when there is a rapid decrease of the level of blood glucose, even if the blood glucose level is not low.

Hypoglycemia unaware

Some children (especially those less than six years of age) may not make adrenaline when they have a glucose log. They may not have signs or symptoms of a low glucose. You might see behavior change such as sleepiness or irritability with a low glucose.

Test the glucose to determine if your child is having low blood sugar. For your child's safety, please notify school staff and caregivers if your child does have these symptoms.

What are the causes of pediatric hypoglycemia (low blood sugar)?

Not eating enough carbs at meals or snacks
Too much insulin or taking the wrong dose
Increased physical activity/exercise
Illness with vomiting

How is pediatric hypoglycemia (low blood sugar) treated?

Use the "Rule of 15"

15g fast acting carbohydrates
Retest glucose in 10-15 minutes
Repeat if necessary and contact your endocrinologist or primary care provider