Hypoglycemia in the newborn.
Hypoglycemia in a neonate has been defined as blood sugar value below 40mg/dL. Hypoglycemia is encountered in a variety of neonatal conditions including prematurity, growth retardation and maternal diabetes. Screening for hypoglycemia in certain high-risk situations is recommended. Supervised breast-feeding may be an initial treatment option in asymptomatic hypoglycemia. However, symptomatic hypoglycemia should always be treated with a continuous infusion of parenteral dextrose. Neonates needing dextrose infusion rates above 12 mg/Kg/min should be investigated for the cause of hypoglycemia. Hypoglycemia has been linked to poor neuro-developmental outcome, and hence aggressive screening and treatment is recommended.
Jain
Ashish
A
WHO Collaborating Center for Training & Research in Newborn Care, Division of Neonatology, Department of Pediatrics, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India.
Aggarwal
Rajiv
R
Jeevasanker
M
M
Agarwal
Ramesh
R
Deorari
Ashok K
AK
Paul
Vinod K
VK
D001786:Blood Glucose / Q000378:metabolism; D001942:Breast Feeding; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy / Q000517:prevention & control; D007231:Infant, Newborn; D007262:Infusions, Intravenous; D015997:Neonatal Screening; D012307:Risk Factors; D013549:Sweetening Agents / Q000008:administration & dosage
D001786:Blood Glucose; D013549:Sweetening Agents; D005947:Glucose