Postprandial Hypoglycemia Clinic

Some babies and children who had early hyperglycemia (high blood sugar) may develop postprandial, or after-meal, hypoglycemia (low blood sugar). Children who have had gastric surgery or fundoplication, the standard surgical treatment for gastro-esophageal reflux disease (GERD), are also at risk for developing postprandial hypoglycemia, which is sometimes called reactive hypoglycemia. Blood sugars go low about three to four hours after they eat. Postprandial hypoglycemia is intermittent, meaning it doesn’t occur after every meal. This can make it difficult to diagnose and to treat.

The Division of Endocrinology and Diabetes at CHOP created a special Postprandial Hypoglycemia Clinic that brings together specialists from Endocrinology and Nutrition to treat and monitor children who have been diagnosed with this condition. A social worker and nurse coordinator are also available to help families as needed.

The clinic is held once a month, in the Buerger Center for Advanced Pediatric Care, seventh floor.

What to expect

Each child will be evaluated by a registered dietitian and an endocrinologist for 30 to 45 minutes each. Labs might be part of the visit, so if your child needs a referral to come to the clinic, please obtain a referral for lab work as well.

Most patients will come to the clinic every two to three months as needed.

New patients and follow up appointments

Families who have not been treated at CHOP before are welcome to attend the clinic. To schedule a new patient or follow up appointment, call 215-590-3174, pressing option #1, and request assistance from the hypoglycemia nurse coordinator. You will need to fill out a Welcome Form in MyCHOP and send your child’s medical records to the HI Center prior to your child’s first appointment. Records can be faxed to 215-590-3053. We will provide more details on the intake process for new patients when you are scheduling your appointment.