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Time to end the routine testing of growth hormone and cortisol on hypoglycaemia screens?
  1. C J Elder1,
  2. V J Wright2,
  3. N P Wright1
  1. 1
    Sheffield Children’s Hospital, Sheffield, UK
  2. 2
    School of Medicine, Sheffield University, Sheffield, UK
  1. Correspondence to Dr N Wright, Sheffield Children’s Hospital, Western Bank, Sheffield S10 2NP, UK; N.P.Wright{at}sheffield.ac.uk

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We prospectively studied 124 consecutive hypoglycaemia screens performed on children attending our emergency department over a 27-month period (March 2006 to May 2008). In keeping with most other paediatric services in the UK, we routinely collect a number of samples to permit investigation of low blood sugar, including metabolic investigations, and a random cortisol and growth hormone. Most of these patients have an intercurrent illness and are subsequently thought to have had an episode of “physiological hypoglycaemia”. There is a paucity of published data examining how cortisol and growth hormone respond to hypoglycaemia and no previous work looking at …

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