Ketotic hypoglycaemia is a poorly understood condition that most commonly affects young children between the ages of one and five years. The history is characteristic. A toddler who is unwell with an intercurrent infection goes to bed having had little to eat in the evening. The next morning they are found encephalopathic or having a fit. The child recovers quickly on being given glucose orally or intravenously. Even if the presentation is typical, it is important to exclude other disorders
Sections of this guideline include: background, admission, initial and ongoing management, oral and intravenous feeding, progress monitoring and discharge.
Last reviewed in April 2017