Diagnóstico diferencial de la hipoglucemia en el niño

panhypopituitarism is the most frequent cause of hypoglycemia after hyperinsulinism. This disorder presents early and is often transitory as it can be easily controlled by glucose intake. Blood sampling at the time of hypoglycemia (critical sample) is essential to diagnosis, in addition to taking a detailed history - including family history - and carrying out a physical examination. Functional tests, such as fasting study, stimulation and loading tests, are sometimes also required to achieve an etiologic diagnosis. The aim of treatment is to increase blood glucose levels with oral or parenteral glucose intake and to avoid recurrence with dietetic or drug therapy, depending on the etiology.