4th Pediatric Infectious Diseases Conference
 
 
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Metabolic disorders
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Specialist Answers
Question
2.5 year healthy male child admitted for febrile convulsions was found to have urine sugar 2 + consistently(confirmed.) can i.v.E.P fluid maintainence be the cause of this? If yes then why the insulin level does not increase to maintain the B.S.L.Level at this age.
Answer
Glucose is present in glomerular filtrate but is reabsorbed by the kidney's proximal tubule. If the blood glucose level exceeds the capacity of the tubules to reabsorb all the glucose present in the glomerular filtrate, the renal threshold is reached and glucose spills into the urine. The renal threshold for glucose is approximately 160 to 190mg/dl of blood; glucose does not appear in the urine until the blood glucose rises above this level. Patients on hyperalimentation may have glycosuria if the carbohydrate solution is being infused faster than the pancreas can produce insulin.
 
 
 
Pedi Poll
Today's Poll
Should teicoplannin, colistin be used in case of neonatal sepsis where culture does not reveal any organism_?
No, it should be used only after drug sensitivity report
Yes, under guidance of an infectious disease expert
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