Características clínicas de los episodios de hipoglucemia en ni？os y adolescentes con diabetes tipo 1 atendidos en el Hospital Pediátrico "William Soler"

introduction: hypoglycemia is the more frequent complication in the treatment of diabetes mellitus and for some it is a more serious problem associated with the disease. objetive: to determine the frequencies and the clinical features of hypoglycemia in a group of diabetic children and adolescents diagnosed with type 1 diabetes mellitus seen in the endocrinology of the "william soler" children hospital from january, 1987 and january, 2000. medical records, general data of patient, insulin therapy , results of glycosylated hemoglobin were registered, as well as the recounted hypoglycemia episodes which were classified as slight and severe. results: there was a high frequency of hypoglycemia episodes (56,25 %). the first severe hypoglycemia was registered as more frequent at the age group of 5 years. the first severe hypoglycemia episode occurred before the first year of diagnosis of diabetes mellitus. patients under a intensive regime had a greater percentage of episodes of severe hypoglycemia than those under a conventional regime. the metabolic control not influenced in occurrence of severe hypoglycemia episodes. conclusions: the above mentioned episodes had a high frequency with predominance of the severe ones during the dawn and with more involvement in the group aged under 5 being a neurodevelopmental affection of development in this age group.