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1. Bonham, J. Lang, T. National Metabolic Biochemistry Network Guidelines for the investigation of hypoglycaemia in infants and children. National Metabolic Biochemistry Network. Department of Health. January 2012. 2. Thornton, PS et al. Recommendations from the Pediatric Endocrine Society for Evaluation and Management of Persistent Hypoglycemia in Neonates, Infants, and Children. Journal of Pediatrics. 2015 Aug;167(2):238-245. • Paediatric hypoglycaemia is a medical emergency with serious consequences. • Investigations need to be performed urgently prior to treatment being given. • In reality complete and comprehensive investigation can be difficult to perform in children in a time pressured situation. • Patients aged ≤16 years who were recorded as having an episode of proven or suspected hypoglycaemia. • Clinical notes review for details of events. • Investigations and results reviewed. • Appropriateness and completeness of investigations assessed.

The not so sweet truth of paediatric hypoglycaemia