The challenges in managing perioperative hypoglycemia in a child on modified Atkins diet

Abstract

Our patient is a 5‐year‐old boy with West syndrome, complicated by neurodevelopmental delays, scheduled for elective gastrostomy. He was started on MAD 6 months prior to surgery. His oral anti‐epileptics were converted to intravenous equivalents during fasting. Non‐dextrose containing solution was used as maintenance fluid. Blood glucose was monitored 4‐hourly when fasting commenced 6h before surgery. His serial blood glucose is summarized in Table 1.

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