Abstract
Dania Al Ani1*, Rula Mhd Al Ajeh1 and Amar Al Shibli2 Author Affiliations 1Department of Academic affairs, Tawam Hospital, Al-Ain, United Arab Emirates 2Department of Pediatrics, Tawam Hospital, Al-Ain, United Arab Emirates Received: July 26, 2021 | Published: August 04, 2021 Corresponding author: Dania Al Ani, PGY 4 Pediatrics, Tawam Hospital, Al Ain, United Arab Emirates DOI: 10.26717/BJSTR.2021.37.006054
Highlights
IntroductionHypoglycemia is a frequently encountered metabolic abnormality in pediatric emergency departments, prompt management and correction is crucial and highly encouraged thorough evaluation and assessment of a possibly serious underlying cause is often overlooked by practitioners
Glucose is the essential and most preferred substrate of energy to the brain, cerebral and cerebrospinal fluid glucose levels are maintained through a facilitated diffusion process dependent on blood glucose concentration, multiple systems are integrated to maintain a steady level and the presence of hypoglycemia reflects a defect in one or several of these physiologic complex interactions
Followed by the rise of the counterregulatory hormones that contribute to glycogenolysis, gluconeogenesis and further activation of lipolysis and ketogenesis, at this point the brain gradually shifts to ketones as its main fuel
Summary
Hypoglycemia is a frequently encountered metabolic abnormality in pediatric emergency departments, prompt management and correction is crucial and highly encouraged thorough evaluation and assessment of a possibly serious underlying cause is often overlooked by practitioners
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