• Indian J Pediatr · Jan 2008

    Review

    Hypoglycemia in the newborn.

    • Ashish Jain, Rajiv Aggarwal, M Jeevasanker, Ramesh Agarwal, Ashok K Deorari, and Vinod K Paul.
    • 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.
    • Indian J Pediatr. 2008 Jan 1; 75 (1): 63-7.

    AbstractHypoglycemia 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.

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