Erschienen in:
01.10.2010 | Symposium on AIIMS Protocols in Neonatology-I
Hypoglycemia in the Newborn
verfasst von:
Ashish Jain, Rajiv Aggarwal, M. Jeeva Sankar, Ramesh Agarwal, Ashok K. Deorari, Vinod K. Paul
Erschienen in:
Indian Journal of Pediatrics
|
Ausgabe 10/2010
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Abstract
Hypoglycemia in a neonate is defined as blood sugar value below 40 mg/dL. It is commonly associated with a variety of neonatal conditions like prematurity, intrauterine growth restriction and maternal diabetes. Screening for hypoglycemia in 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 a definite cause of hypoglycemia. Hypoglycemia has been linked to poor neuro-developmental outcome, and hence aggressive screening and treatment is recommended.