Which medications are used in the treatment of pediatric hypoglycemia?

Updated: Sep 12, 2019
  • Author: Robert P Hoffman, MD; Chief Editor: Sasigarn A Bowden, MD  more...
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Answer

Most medications used to treat hypoglycemia are hormonal and either replace a hormonal deficiency (ie, a cortisol or growth hormone deficiency) or suppress excess hormone production (octreotide). Diazoxide is an antihypertensive agent that also suppresses insulin secretion.

As previously mentioned, in infants with one of several disorders (eg, ketotic hypoglycemia, glycogen-storage disorder, free fatty acid metabolism defect, mild hyperinsulinism), hypoglycemia can be prevented with frequent feedings using a specifically designed diet, but when feeding is inadequate because of GI problems or other illnesses, parenteral dextrose can be used to obtain a rapid response. Fructose must be avoided in children with fructose diphosphatase deficiency.


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