Neonatal hypoglycemia
| Neonatal hypoglycemia | |
|---|---|
| Classification and external resources | |
| MedlinePlus | 007306 |
| eMedicine | article/802334 |
Neonatal hypoglycemia is a condition of decreased blood sugar or hypoglycemia in a neonate.<ref name=""UUCSF">"Neonatal Hypoglycemia : Intensive Care Nursery House Staff Manual" (PDF). UCSF Children's Hospital. Retrieved 7 December 2014.</ref>
Causes
Neonatal hypoglycemia can be found in the following conditions:
- Decreased substrate availability
- Intrauterine growth retardation
- Prematurity
- Inborn errors of metabolism (e.g. fructose intolerance)
- Glycogen storage disease
- Prolonged fasting without IV glucose
- Hyperinsulinemia
- Infant of diabetic mother
- Erythroblastosis fetalis
- Exchange transfusion
- Beckwith-Wiedemann Syndrome
- Islet cell hyperplasia
- Maternal ß-mimetic tocolytic agents
- High umbilical arterial catheter
- Abrupt cessation of IV glucose
- Other endocrine abnormalities
- Pan-hypopituitarism
- Hypothyroidism
- Adrenal insufficiency
- Increased glucose utilization
- Cold stress
- Neonatal infection
- Increased work of breathing
- Perinatal asphyxia
- Other conditions
- Polycythemia
- Congenital heart disease
- CNS abnormalities
See also
References
Further reading
- Koh TH, Eyre JA, Aynsley-Green A (1988). "Neonatal hypoglycaemia--the controversy regarding definition". Arch. Dis. Child. 63 (11): 1386–8. doi:10.1136/adc.63.11.1386. PMC 1779139. PMID 3202648.
- Cornblath M, Schwartz R, Aynsley-Green A, Lloyd JK (1990). "Hypoglycemia in infancy: the need for a rational definition. A Ciba Foundation discussion meeting". Pediatrics 85 (5): 834–7. PMID 2330247.
- Cornblath M, Hawdon JM, Williams AF, Aynsley-Green A, Ward-Platt MP, Schwartz R, Kalhan SC (2000). "Controversies regarding definition of neonatal hypoglycemia: suggested operational thresholds". Pediatrics 105 (5): 1141–5. doi:10.1542/peds.105.5.1141. PMID 10790476.
- McGowan, JE (1 July 1999). "Neonatal Hypoglycemia". Pediatrics in Review 20 (7): 6e–15. doi:10.1542/pir.20-7-e6.
- "Postnatal Glucose Homeostasis in Late-Preterm and Term Infants" (PDF). Pediatrics 127 (3): 575–579. 28 February 2011. doi:10.1542/peds.2010-3851.
- Neonatal hypoglycemia: initial and follow up management, Guideline
- Management of Neonatal Hypoglycemia, NNF Clinical Practice Guidelines.
External links
- Neonatal Hypoglycemia : Intensive Care Nursery House Staff Manual, The Regents of the University of California, 2004.
- Hypoglycemia in the Newborn, Lucile Packard Children’s Hospital
- Glucose Infusion Rate Calculator
- TPN Cheat Sheet
- Newborn Hypoglycemia Guideline: British Columbia Reproductive Care Program
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