Editorial

Understanding hypoglycemia in very young children with diabetes: there is much work still to be done

Professor Christopher Ryan of the Editorial Board

Diabetic Hypoglycemia September 2009, Volume 2, Issue 2: page 1-2

In this issue of Diabetic Hypoglycemia, Ly and Jones present an excellent comprehensive review of the literature on hypoglycemia in children and adolescents with diabetes. They make the case that compared to their adult counterparts, pediatric patients have higher rates of hypoglycemia (particularly at night), as well as elevated glycemic thresholds for autonomic and neuroglycopenic symptoms, and a greater risk of neurocognitive sequelae. They also remind us – and this point bears repeating – that with relatively few exceptions, most of their conclusions are based on studies of older children and adolescents.