QUESTIONS OF DIETOTHERAPY AT CONGENITAL HYPERINSULINISM
Congenital hyperinsulinism occurs due to inadequate hypersecretion of insulin by beta cells of the pancreas, resulting to hypoglycemia. Hypoglycemia, affecting the brain, can contribute to mental retardation, cerebral palsy, epilepsy, microcephaly, spasms and ataxia. In newborns, attack of hypoglycemia are manifested by drowsiness, sweating, anxiety, cyanosis, tremors, convulsions, loss of appetite, apnea or tachypnea, etc. The above symptoms are often overlooked by doctors. It is known that children with hyperinsulinism usually have a low appetite, and there is a disturbance of the food stereotype. An essential component of the correction of the hypoglycemic state is diet therapy. Currently, the glycemic index is considered the main criterion for the selection of products at this pathology. Foods with a high glycemic index are excluded in the diet. It is also necessary to exclude foods with a high insulin index. Insulin inhibits the formation of glucose from proteins and fats, allowing the body to function smoothly between meals. The knowledge of parents about the health of the child and the possible risks of this pathology plays a big role in decreasing of mortality and disability of children, improving the quality of life and provides prevention of disease`s manifestation.