Fine tuning of nutritional therapy by using continuous glucose monitoring in an infant with a gastrointestinal malformation
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A 4-month-old infant came to our attention for hyperglycemia during hospitalization for rectal bleeding and diarrhea.
The baby was born at 35 weeks of gestation, with low weight (2290 g) and polyhydramnios. A diagnosis for long-gap type 1 esophageal atresia, a very rare malformation, was made. Nutrition was performed through gastrostomy from the second day after birth, obtaining good growth and weight gain. The infant underwent traction of esophageal pouches (Foker technique) and gastrostomy at 3 months of age.
One month after surgery, the baby was admitted to the emergency department for rectal bleeding and diarrhea. During rehydration with a solution containing glucose (5 %) and other electrolytes, hyperglycemia (395 mg/L or 20.8 mmol/L) and hyponatremia (128 mEq/L) were found. Glycemic measurements before and 2 h after meals showed a slight increase in glycemic values; viral studies in stool and blood resulted negative. The baby was discharged with a diagnosis of...
KeywordsHypoglycemia Dumping syndrome Children Glycemic profile
Continuous glucose monitoring
Compliance with ethical standards
Conflict of interest
The authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
Human and animal rights
This article does not contain any studies with human or animal subjects performed by the any of the authors.
Informed consent was obtained from parents of the patient for being included in the study.