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Glucose metabolism in children: influence of age, fasting, and infectious diseases
Wilco C W R Zijlmans1, Anne A M W van Kempen, Mireille J Serlie
1Department of Pediatrics, Diakonessen Hospital, PO Box 1814, Paramaribo, Suriname (SA). cwrzijlmans@gmail.com
Insights
Hypoglycemia in young children is a serious complication with risks of brain damage. This review examines risk factors like age, fasting, and infection, comparing pediatric and adult glucose metabolism.
Area of Science:
- Pediatric Endocrinology
- Metabolic Disorders
- Critical Care Medicine
Background:
- Hypoglycemia is a frequent and severe complication in young children.
- It carries a significant risk of neurological damage and mortality.
- Understanding risk factors is crucial for prevention and management.
Purpose of the Study:
- To review the occurrence and impact of hypoglycemia in young children.
- To discuss key risk factors: young age, fasting, and severe infectious disease.
- To compare glucose metabolism in children with infectious disease to adults.
Main Methods:
- Literature review of existing studies on pediatric hypoglycemia.
- Analysis of risk factors affecting glucose metabolism in children.
- Comparative analysis of pediatric versus adult glucose metabolism data.
Main Results:
- Young age, fasting, and severe infections are identified as significant risk factors for hypoglycemia.
- Limited data exists on the specific effects of these factors on pediatric glucose metabolism.
- Differences in glucose metabolism between children and adults under these conditions are highlighted.
Conclusions:
- Hypoglycemia in young children requires vigilant avoidance due to severe consequences.
- Further research is needed to elucidate glucose kinetics in children, especially during infectious diseases.
- Comparative data suggests potential differences in metabolic responses between pediatric and adult populations.
Abstract:
This review describes the occurrence of hypoglycemia in young children as a common and serious complication that needs to be avoided because of the high risk of brain damage and mortality. Young age, fasting, and severe infectious disease are considered important risk factors. The limited data on the effect of these risk factors on glucose metabolism in children are discussed and compared with data on glucose metabolism in adults. The observations discussed may have implications for further research on glucose kinetics in young children with infectious disease.
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