My three year old son, diagnosed with hypoglycemia, is currently being pricked 4-6 times a day for sugar and ketones. The endocrinologist. feels that he may have ketotic hypoglycemia. I always find hypoglycemia information under diabetes, but, at this point, my son does not have diabetes. I would like to find someone who has a child with this problem. I do not know if I am handling him properly when all research and treatment usually talks diabetes.

Hypoglycemia

is an important complication of diabetes when the balance between injected
insulin and food intake is out of alignment. That is why at a site like CWD
there is a good deal of information on this theme.

In the case of your small son, I think that the endocrinologist’s
diagnosis of

ketotic hypoglycemia

is most probably correct. It is a fairly common problem in young children
which may occur when there is carbohydrate deprivation for any of a number
of reasons and glycogen stores are no longer able to maintain normal blood
sugars and fat has to be metabolised for energy. However, there are other
causes of hypoglycemia at this age including a number of genetic
disturbances of organic and fatty acid metabolism in addition to some
endocrine disorders.

This does mean that the final determination as to whether your small son
really does have hypoglycemia. If so, its specific cause and its treatment
need to be directed by a paediatric endocrinologist with the backing of an
experienced dietitian and not just in cooperation with another internet
connected parent.

DOB