If the child abuse suspicion is strong, then the administration of
alcohol along with carbohydrate food also causes transient reactive
hypoglycaemia needs to be remembered and worth pursuing.
Regards
Vivek
Guy's & St.Thomas'
On Fri, 19 May 2000, Robert Forrest wrote:
> I've had a chat about this with Bea Yorker, professor of nursing at Georgia
> state who, like me has an interest in MBP in carers. She agrees that the
> baby sitter needs to be investigated.
>
> A R W Forrest LLM, FRCP, FRCPath,
> Professor of Forensic Toxicology
> University Dept of Forensic Pathology
> Medico-legal Centre
> Watery Street
> SHEFFIELD
> S3 7ES
> UK
>
> Voice +44 (0)114 2738721
> Fax +44 (0)114 279 8942
>
> Snip
>
> > A baby was brought to the ER in severe hypoglycemia, and
> > within hours made a full recovery. No cause of the
> > hypoglycemia could be determined; blood drawn after eight
> > hours showed both glucose and insulin in the normal
> > range. (This is the only blood remaining for further
> > analysis.) The child had been in the care of a baby
> > sitter at the time of the onset of hypoglycemia; the baby
> > sitter is known to be a diabetic. Deliberate injection
> > of insulin is considered a possibility.
> >
>
>
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