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Re: Hypoglycaemia

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In a message dated 5/6/2004 12:06:14 AM Pacific Daylight Time,

JMurraybel@... writes:

> CHARGE kids have problems with low blood

> sugar?

>

Yes, Tryny's, normal for him, blood glucose levels are low (usually ranging

in the 40's) but for him that's normal. I have to take his glucose levels

everyday being on this diet, and I don't usually do anything unless he drops

below

36.

Debra

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In a message dated 5/6/2004 12:06:14 AM Pacific Daylight Time,

JMurraybel@... writes:

> CHARGE kids have problems with low blood

> sugar?

>

Yes, Tryny's, normal for him, blood glucose levels are low (usually ranging

in the 40's) but for him that's normal. I have to take his glucose levels

everyday being on this diet, and I don't usually do anything unless he drops

below

36.

Debra

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My son n had the exact experience. He was sick and almost coma like from

the low blood sugar and actually turned blue and we had to call an ambulance. I

didn't know at the time that is what was going on. I thought he had a seizure

and I was freaked. After many tests in the emergency room at the San Diego

Kaiser they realized it was low blood sugar. We were referred to an

endocrinologist and he put n on Cortef and he takes it twice a day. When

he gets sick we increase his dosage and if he can't keep the pills down we have

injectable on hand in case of vomiting like you had. This all occurred when he

was three years old. We did the finger prick blood test like diabetics do with

the home machine to regulate and eventually I was able to recognize his symptoms

and treat as necessary. If you need more info on dosage I will be glad to get

that to you. n is now 13 years old and never misses a dose of Cortef.

Sundi

n 13yrs

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My son n had the exact experience. He was sick and almost coma like from

the low blood sugar and actually turned blue and we had to call an ambulance. I

didn't know at the time that is what was going on. I thought he had a seizure

and I was freaked. After many tests in the emergency room at the San Diego

Kaiser they realized it was low blood sugar. We were referred to an

endocrinologist and he put n on Cortef and he takes it twice a day. When

he gets sick we increase his dosage and if he can't keep the pills down we have

injectable on hand in case of vomiting like you had. This all occurred when he

was three years old. We did the finger prick blood test like diabetics do with

the home machine to regulate and eventually I was able to recognize his symptoms

and treat as necessary. If you need more info on dosage I will be glad to get

that to you. n is now 13 years old and never misses a dose of Cortef.

Sundi

n 13yrs

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My son n had the exact experience. He was sick and almost coma like from

the low blood sugar and actually turned blue and we had to call an ambulance. I

didn't know at the time that is what was going on. I thought he had a seizure

and I was freaked. After many tests in the emergency room at the San Diego

Kaiser they realized it was low blood sugar. We were referred to an

endocrinologist and he put n on Cortef and he takes it twice a day. When

he gets sick we increase his dosage and if he can't keep the pills down we have

injectable on hand in case of vomiting like you had. This all occurred when he

was three years old. We did the finger prick blood test like diabetics do with

the home machine to regulate and eventually I was able to recognize his symptoms

and treat as necessary. If you need more info on dosage I will be glad to get

that to you. n is now 13 years old and never misses a dose of Cortef.

Sundi

n 13yrs

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Hi Elaine,

Ellen has always had problems with hypoglycaemia. This is due to a

combination of things. Mainly she has problems when she has a big infection

(as Jack has) but also because of her feeding difficulties and the

limitations on the sorts of foods she can tolerate.

Infections problems are usually dealt with by IV, but the episodes she has

when " well " have been more difficult. We've learnt to recognise when an

attack is coming on as she'll go the way diabetics do. Suddenly,

unreasonably cranky, pale, sweaty and sometimes a bit disoriented. It'll

come seemingly out of the blue, but if we check, we'll usually find that

she's substantially overdue a feed for some reason. What we do is...give her

a small quantity (say 50 mls) of a low GI fruit juice (say fresh apple

juice), then start her feeds, slowly. This seems to work. We've found that a

large quantity of juice or feed will start vomiting, but this may just be

Ellen as she has severe dumping syndrome and can't tolerate sugars at all

well. To keep her on an even keel, we find it's best to have her pump feeds

going at a slower rate for a longer time, and to encourage her to try to get

in small amounts of the things she can tolerate during the day. Silken tofu

is wonderful as it's easy to swallow, doesn't affect the dumping and is

nutritious. Another good one is oat milk if you can get that. It is pleasant

to drink, has calories that aren't based on sucrose but isn't so dense that

it causes dumping.

Hope this is of some help. Jack's issues are hopefully just related to his

bad infection and will go away once he is recovered.

Regards,

Marea Howe

Hypoglycaemia

> Hi All,

> I just wondered how many of our CHARGE kids have problems with low blood

> sugar?

> Jack has been very unwell since last Friday. He had vomited constantly and

> was very lethargic and unresponsive on Sunday so we took him to the GP who

> referred us straight to the paeds. His blood sugar was only 1.7mmol so

they gave

> him bolus dextrose & put up a drip (when they eventually managed to get a

> line in). This helped enormously and he was more responsive. His CRP level

was

> 133 so there seemed to be an infection going on somewhere and it turned

out to

> be another UTI. Anyway we were back up on Tuesday as they wanted to

review

> him and his own paed wanted BM's taken 2 hrly. They were 3.2, 4.1,

4.2.She is

> still not happy with this as even though the second 2 are within normal

> limits they are still on the low side. Also he is tolerating 1/2 amounts

of bolus

> 2hrly but not his overnight pump feed at 1/2 rate :( I have to phone again

> this afternoon as they will have full culture & sensitivity results from

his

> urine samples on Sunday and Tuesday.

> Anyway, just really wanted to ask if your child does have problems with

> hypoglycaemia how were they detected and how do you monitor it etc.

> Thanks in advance

> Elaine, mum to Elise (11yrs) & Jack (6yrs) CHaRGE

> Scotland

>

>

>

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Thank you to everyone who replied about this. Hopefully it has just been a

one off with Jack due to the UTI but I'm beginning to think it has maybe been a

slight problem for a while now as there does seem to be signs that I hadn't

recognised :( He had been on a low dose of Growth Hormone but this stopped in

December last year. He is not actually GH deficient but they gave him a

trial to see if it helped his growth. It did initially but it had levelled off

so

we decided to stop it and see what happens.

He is due to have lithotripsy at the end of June to remove his kidney stones

so it will be important to know what's going on before then as I don't want

him fasting too long if his blood sugar is going to be a problem.

Thanks again.

Elaine, mum to Elise (11yrs) & Jack (6yrs) CHaRGE

Scotland

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Thank you to everyone who replied about this. Hopefully it has just been a

one off with Jack due to the UTI but I'm beginning to think it has maybe been a

slight problem for a while now as there does seem to be signs that I hadn't

recognised :( He had been on a low dose of Growth Hormone but this stopped in

December last year. He is not actually GH deficient but they gave him a

trial to see if it helped his growth. It did initially but it had levelled off

so

we decided to stop it and see what happens.

He is due to have lithotripsy at the end of June to remove his kidney stones

so it will be important to know what's going on before then as I don't want

him fasting too long if his blood sugar is going to be a problem.

Thanks again.

Elaine, mum to Elise (11yrs) & Jack (6yrs) CHaRGE

Scotland

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Hi Elaine,

Pretty late catching up on posts as we had a Yahoo problem so just read

about Jack. I am afraid I have no words of wisdom but just wanted to say

sorry to hear you/Jack are having a rough time of it. Poor little guy, hard

to imagine him lethargic with his huge personality. Hopefully, things are a

little more settled now?

All the best...

Flo

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Hi Elaine,

Pretty late catching up on posts as we had a Yahoo problem so just read

about Jack. I am afraid I have no words of wisdom but just wanted to say

sorry to hear you/Jack are having a rough time of it. Poor little guy, hard

to imagine him lethargic with his huge personality. Hopefully, things are a

little more settled now?

All the best...

Flo

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