### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
My grandson age 6 complained of a headache yesterday stomach cramps & started vomiting. This morning he woke up shaking. My daughter checked his sugar & he was 63. Her 4 yr old was dignoised with type 1 @ 6 months of age. The 4 yr old is on an insulin pump. My daughter took him to the ER. Blood work normal A1C normal but had large keatones present. Does this mean he is diabetic also??? He will see his dr on monday. I am so upset over this. I have 2 daughters & they each have a child type 1. We have checked family history & no one has this horriable diease. Im so sorry, will wait till monday when we see the dr. I didnt relize I had to pay. Happy Easter to you & yours.

### output:

Thanks for posting on Chat Doctor. Wishing you a Happy Easter. Blood sugars below 40 mg/DL indicates hypoglycemia that is low blood sugar although less than 70 mg/DL is considered by some standards as the cutoff. If symptoms are present, I will consider even 63 as hypoglycemic. Symptoms to look out for are:* Shakiness* Nervousness or anxiety* Sweating, chills and clamminess* Irritability or impatience* Confusion, including delirium* Rapid/fast heartbeat* Lightheadedness or dizziness* Hunger and nausea* Sleepiness* Blurred/impaired vision* Tingling or numbness in the lips or tongue* Headaches* Weakness or fatigue* Anger, stubbornness, or sadness* Lack of coordination* Nightmares or crying out during sleep* Seizures* UnconsciousnessHypglycemia can occur in a child with diabetes type 1 on insulin, and you should be aware of the symptoms and need to intervene immediately in case you see the symptoms. In case of hypoglycemia you need to take 15-20 grams of glucose or simple carboy Chat Doctor. . Hope that helps. Feel free to revert in case of further queries if any.