title: Neonatal hyperglycaemia: a challenging diagnosis.
abstract: Neonatal diabetes mellitus (NDM) is a very rare disorder occurring between 1:400 000 and 1:500 000 live births and, until recently, little was known about this disease. The authors report a case of transient NDM in a 2-day-old female infant admitted in an intensive care unit with a blood glucose level greater than 400 mg/dl, glycosuria, ketonuria and with no evidence of autoimmunity. Treatment with insulin was necessary until the 51st day of life and many difficulties were found in the management of metabolic control because of the need for tiny quantities of insulin. Hyperglycaemia is sometimes routinely treated with insulin by neonatologists but after excluding the common causes of hyperglycaemia, NDM should be considered as a diagnostic possibility with clinical, genetic and therapeutic implications.
authors: Pediatric Department, Centro Hospitalar de Cascais, Lisbon, Portugal. saranoeme@gmail.com
authors: Sara Noéme
authors: SN
authors: Prado
authors: Raquel
authors: R
authors: Amaral
authors: Teresa
authors: T
authors: Tomé
authors: Ana
authors: A
authors: Bettencourt
authors: Filomena
authors: F
authors: Pinto
authors: Tiago
authors: T
authors: Rocha
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D003920:Diabetes Mellitus / Q000175:diagnosis* / Q000188:drug therapy*; D004305:Dose-Response Relationship, Drug; D004334:Drug Administration Schedule; D005260:Female; D005500:Follow-Up Studies; D005865:Gestational Age; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis / Q000188:drug therapy; D007231:Infant, Newborn; D007232:Infant, Newborn, Diseases / Q000175:diagnosis / Q000188:drug therapy; D007262:Infusions, Intravenous; D007328:Insulin / Q000008:administration & dosage*; D007363:Intensive Care Units, Neonatal; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D007328:Insulin