Evidence map›Paper›PMID 42484965›Full record

ArticleJournal of endocrinological investigation2026

Knowledge, attitudes, and practices in pediatric hypoglycemia in Italy (KAPPHy study).

Arianna Maiorana, Roberta Pajno, Francesco Tagliaferri, Alessandro Rossi, Enza Mozzillo, Maurizio Delvecchio, SIMMESN/SIEDP Intersocietary Working Group

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Article in Journal of endocrinological investigation, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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5 · Who and what money

Authors and funding

7 authors.

Arianna MaioranaDivision of Metabolic Diseases and Hepatology, Ospedale Pediatrico Bambino Gesù, Rome, Italy.ORCID http://orcid.org/0000-0001-9986-1385
Roberta Pajno *Pediatric Unit, IRCCS San Raffaele Institute, Milan, Italy.ORCID http://orcid.org/0009-0007-6406-8345
Francesco Tagliaferri *Clinical Metabolic Reference Center, Fondazione IRCCS Ca' Granda Ospedale Maggiore Policlinico, Milan, Italy.ORCID http://orcid.org/0000-0002-8006-368X
Alessandro Rossi *Department of Translational Medicine, Section of Pediatrics, University of Naples "Federico II", Naples, Italy.ORCID http://orcid.org/0000-0002-1689-4948
Enza Mozzillo *Department of Translational Medicine, Section of Pediatrics, University of Naples "Federico II", Naples, Italy.ORCID http://orcid.org/0000-0002-8437-8494
Maurizio DelvecchioDepartment of Biotechnological and Applied Clinical Sciences, University of L'Aquila, L'Aquila, Italy. maurizio.delvecchio1@univaq.it.ORCID http://orcid.org/0000-0002-1528-0012
SIMMESN/SIEDP Intersocietary Working Group

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeChildhood hypoglycemia is associated with relevant morbidity and likely long-term neurological sequelae. Diagnostic thresholds and management strategies remain quite heterogeneous, particularly beyond the neonatal period. We aimed to evaluate current diagnostic and therapeutic practices for pediatric hypoglycemia management in Italy among members of the Italian Society of Pediatric Endocrinology and Diabetology (SIEDP) and the Italian Society of Metabolic Diseases and Newborn Screening (SIMMESN).

methodsAn anonymous electronic survey including 43 questions about management of pediatric hypoglycemia was sent to SIEDP and SIMMESN members. Descriptive statistics and comparative statistical analysis between respondents of the two societies were run.

resultsA total of 118 respondents participated. Most of them reported direct clinical experience in pediatric hypoglycemia and routinely used critical sampling during hypoglycemic episodes. Diagnostic thresholds were heterogeneous: 34.7% reported 50 mg/dL, 33.1% 60 mg/dL, and 22.0% 70 mg/dL. Comparative analysis between societies showed no differences in most diagnostic procedures, but significant differences emerged in diagnostic thresholds (p = 0.005), with SIMMESN members selected 60 mg/dL more frequently (adjusted p = 0.020), and SIEDP members more frequently 70 mg/dL (adjusted p = 0.013). SIMMESN members reported more frequent use of genetic testing for etiological diagnosis. SIEDP respondents showed a frequent used of continuous glucose monitoring in the follow-up.

conclusionManagement of pediatric hypoglycemia in Italy is largely aligned with international recommendations. Clinically relevant variability persists, particularly in diagnostic thresholds, adoption of molecular analysis, and technologies, likely reflecting different clinical focus and patient populations. Our findings highlight the need for harmonized national recommendations and shared diagnostic definitions across scientific societies.

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ChildrenHypoglycemiaSIEDPSIMMESNSurvey

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.