Delayed Hypoglycemia in a Child After Ingestion of a Single Glipizide Tablet, ,

This is the first report to describe the delayed onset of hypoglycemia in a child after ingestion of one tablet of glipizide. A 2-year-old boy was observed to ingest 5 mg glipizide and 25 mg hydrochlorothiazide. Activated charcoal was administered within 35 minutes of ingestion. Hypoglycemia (serum glucose 49 mg/dL) developed 11 hours later. Emergency physicians must be aware of the potential for delayed hypoglycemia in children with single-tablet ingestions of glipizide. Prolonged monitoring of glucose levels is warranted. [Szlatenyi CS, Capes KF, Wang RY: Delayed hypoglycemia in a child after ingestion of a single glipizide tablet. Ann Emerg Med June 1998;31:773-776.]