#paeds See also [[DKA]], [[Euglycaemic DKA]] # accelerated ketosis of childhood Aka **hypoglycaemic ketosis** - usually toddler with URTI and vomiting - +/- [[hypoglycaemia|hypoglycemia]] - Ketones is a physiological response to starvation usually - \>0.6 abnormal - \>3-4 may cause symptoms (tummy pain, etc) - ==in infants <6 months== need to screen for inborn errors of metabolism - Also need screening if kid looks flat/sick, pale/sweaty > hypoglycaemia without ketones response is concerning *Treatment*