By Everlon Cid Rigobelo

ISBN-10: 9533076526

ISBN-13: 9789533076522

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Additional resources for DIABETES – DAMAGES AND TREATMENTS

Example text

In any case the brain energy supply is severely impaired; the mental status of the children is likely to be impaired with extreme inappropriate effect and mood, lethargy, seizure, or coma. , 1999, Stanley, 1997). , 1995). , 1997). Liver size should be assessed for evidence of glycogen-storage diseases. 1 Hyperinsulinemia Potential causes of hyperinsulinism in children include maternal diabetes in pregnancy, persistent hyperinsulinemic hypoglycemia of infancy, insulin-producing tumors, and child abuse (Stanley, 1997).

10 Hypoglycemia in critical illness and organ failure Approximately 30% of patients with severe malaria suffer from hypoglycemia, and the presence of low blood glucose seems to be associated with increased mortality in malaric patients. In addition, the therapy for malaria can contribute to hypoglycemia, in particular, quinine stimulates insulin secretion. Hypoglycemia is also common in other critically ill patients and has been reported in organ failure or severe disease, such as sepsis, head injury, heart failure, chronic renal failure, acute hepatic necrosis, pancreatitis, severe enteritis and multiple organ failure.

2002) Clinical outcome of pregnancy in women with type 1 diabetes. , Yang H. (2005) Glut-1 deficiency syndrome: clinical, genetic and therapuetic aspects. C. (2006) Hepatic glycogen synthase deficiency: an infrequently recognised cause of ketotic hypoglycemia. : (2001) High incidence of unrecognized metabolic and endocrinologic disorders in acutely ill children with previously unrecognized hypoglycemia. , Aurbach - Klipper Y. (1998) Standard and Low-Dose Short Adrenocorticotropin Test Compared with Insulin-Induced Hypoglycemia for Assessment of the Hypothalamic-Pituitary-Adrenal Axis in Children with Idiopathic Multiple Pituitary Hormone Deficiencies.

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