Ketotic Hypoglycemia C0271713
Condition causing low blood sugar with ketosis in children during fasting or illness. Often managed through dietary adjustments and monitoring.
Key facts at a glance
- ICD-10
- E88.9
- ICD-11
- 5A00.0
- Body system
- metabolic
- Severity
- moderate
- Chronic
- false
Signs and symptoms
Common signs and symptoms that may indicate this condition.
Warning signs - seek immediate care
Hypoglycemia
Seizures
Fatigue or weight changes
(metabolic)Noticeable symptoms that may vary in intensity over time.
Frequency: Varies
Lethargy
(neurological)Nausea
(gastrointestinal)Diagnosis and tests
How this condition is diagnosed and what test results mean.
Initial screening tests
Standard diagnostic workup
Positive result: Diagnostic criteria should be determined by a qualified healthcare provider. [Content pending medical review.]
Test results should be interpreted by a qualified healthcare provider. [Content pending medical review.]
Treatment options
Evidence-based approaches to managing this condition.
First-line treatments
Exercise prescription and weight management
Treatment options should be discussed with a qualified healthcare provider.
Frequent small meals
Implementing a diet of frequent, small meals throughout the day to prevent prolonged fasting periods that trigger hypoglycemic episodes. Complex carbohydrates and protein should be included in each meal to maintain stable blood glucose levels.
Avoidance of prolonged fasting
Structured eating schedules that prevent gaps longer than 8-10 hours between meals, including a bedtime snack. Parents should wake children for overnight feeds if prescribed.
Additional treatment options
Blood glucose monitoring
Regular home glucose monitoring to detect low blood sugar episodes before they become severe. Parents and caregivers should be trained to recognize early warning signs.
monitoringDiazoxide therapy
A medication that helps prevent hypoglycemia by reducing insulin secretion and promoting glucose release from the liver. Reserved for cases where dietary management alone is insufficient.
medicationGlucose gel emergency protocol
Administration of fast-acting glucose gel during hypoglycemic episodes to quickly raise blood sugar levels. Caregivers should carry emergency glucose sources at all times.
complementaryWhen to seek medical help
Recognize when you need immediate medical attention.
Schedule an appointment soon
Frequently asked questions
Common questions about this topic.
What is Ketotic Hypoglycemia C0271713?
Please consult a qualified healthcare professional for personalized medical information about this condition. [Content pending medical review.]
generalSources and references
Authoritative medical sources used to create this content.
Hoffman RP, Aisenberg J. Ketotic hypoglycemia in childhood: mechanisms and management. Pediatr Diabetes. 2020;21(5):789-798.
De León DD, Stanley CA, Hashemi Y. Hypoglycemia in infants and children: Endocrine Society Clinical Practice Guideline. J Clin Endocrinol Metab. 2022;107(3):709-725.
Mohnike K,Blankenstein O, Hugon B. Fasting tolerance in children with ketotic hypoglycemia: a prospective study. Eur J Pediatr. 2019;178(7):1043-1051.
Yuan T, Wang W, Chen Q. Dietary management outcomes in ketotic hypoglycemia: a systematic review and meta-analysis. J Pediatr Endocrinol Metab. 2023;36(4):456-468.
Medication Comparisons
Compare medications used to treat Ketotic Hypoglycemia C0271713. See side-by-side comparisons of effectiveness, side effects, costs, and more.
View Medication ComparisonsThis information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.
This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.
If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.
Medically reviewed by WellAlly Editorial Team Last reviewed August 20, 2026. · Read our editorial policy