Ketotic Hypoglycemia Vomiting Child

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Ketotic Hypoglycemia

Ketotic hypoglycemia is a medical term used in two ways: (1) broadly, to refer to any circumstance in which low blood glucose is accompanied by ketosis, and (2) in a much more restrictive way to refer to recurrent episodes of hypoglycemic symptoms with ketosis and, often, vomiting, in young children. The first usage refers to a pair of metabolic states (hypoglycemia plus ketosis) that can have many causes, while the second usage refers to a specific "disease" called ketotic hypoglycemia. Hypoglycemia with ketosis: the broad sense[edit] There are hundreds of causes of hypoglycemia. Normally, the defensive, physiological response to a falling blood glucose is reduction of insulin secretion to undetectable levels, and release of glucagon, adrenaline, and other counterregulatory hormones. This shift of hormones initiates glycogenolysis and gluconeogenesis in the liver, and lipolysis in adipose tissue. Lipids are metabolized to triglycerides, in turn to fatty acids, which are transformed in the mitochondria of liver and kidney cells to the ketone bodies— acetoacetate, beta-hydroxybutyrate, and acetone. Ketones can be used by the brain as an alternate fuel when glucose is scarce. A hig Continue reading >>

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  1. Ingvildr

    My son gets ketototic hypoglycemia, not terribly uncommon in skinny kids. He is almost seven and decided he wasn't going to eat dinner(he didn't like what was served-new foods). He woke up this morning feeling bad and his dad wasn't paying attention(watching tv) until he started vomiting. We almost ended up taking him to the doctor because we couldn't get him to stop until around noon. I took his blood sugar(I'm diabetic) after some apple juice and it was 72. I finally got enough kept down him to get him feeling better and eating. I can still smell ketones on his breath. He is an extremely picky eater and it is hard to get him to eat outside of a narrow range of foods and he would rather go hungry than eat something he doesn't want. It makes it difficult to get new foods into him. Any advice other than make sure he eats before bed(I already know that). He won't eat meat except for chicken nuggets and mild sausage or fish sticks, bleh. He eats most any bread, most fruit and some raw vegies which is up from only carrot sticks. He eats most dairy but noodles only with cheese and rice and no other grain or pasta. He is allergic to corn and soy and I make most of his food from scratch. Strangely enough he likes most seasonings except spicy/peppery and prefers seasoned food. They only way I can get him to try new foods is to serve them first and hold the rest of his meal hostage until he eats the new food, usually about a teaspoon sized serving.

  2. Elliot

    You may be able to find something that works within his preferences. If he likes fruit and dairy, that alone can be an almost complete diet. If you add in gelatin I think it could work well.

  3. Ingvildr

    He also eats peanut butter-day in and day out. If I never see another jar of peanut butter......

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