Nutritional, Metabolic, Endocrine
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Children admitted to the study hospitals will be eligible if they are --aged 6–59 months, --have Severe Acute Malnutrition --with hypoglycemia (blood glucose concentration (BGC) < 54 mg/dl , < 3 mmol/l), -- are in a condition that would need an IVG or alternative treatment for the same indication: lethargic, unconscious, or convulsing or repeated vomiting; or if they are alert but unable to drink. --and if families or caregivers provide oral and/or written informed consent .
Exclusion criteria
Exclusion criteria: Children will be excluded if they are --able to drink properly and do not need IVG. This means children whose blood glucose can be raised through drinking sugary liquid. --have congenital anomalies such as congenital heart disease, physical deformities, --known diabetes, hemophilia or history of neonatal hypoglycemia, --critically ill (such as dying children, children with chock or premortem dyspnea etc) --unable to give blood sample --had been previously enrolled in the study. --have parents or guardians who did not give consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reaching a normal glucose concentration over 60 mg/dl after in 40 minutes. Significant blood glucose gain (> 10 mg/dl) in 40 minutes | — |
Secondary
| Measure | Time frame |
|---|---|
| ? Time to normal glycemia: defined as the time to the first normal glycemia ? Time to become alert, time to able to drink ? Relapse, defined as children who reached a normal glycaemia 3.3 mmol/L (60 mg/dl), but failed to maintain during the study period. Early relapse is before 40 minutes and late relapse between 40 and 120 minutes ? Maximal blood glucose concentration (BGC) gain (CGmax), defined as the peak serum glucose concentration within the first line treatment of the first 40 minutes minus the baseline serum glucose concentration ? Sustain CGmax defined as the difference between serum glucose concentration at the end of study (2 hours) and the baseline serum glucose concentration ? Tolerance and side effects | — |
Countries
Ethiopia
Contacts
Scientific followup