• Indian J Pediatr · Oct 2010

    Hypoglycemia in the newborn.

    • Ashish Jain, Rajiv Aggarwal, M Jeeva Sankar, Ramesh Agarwal, Ashok K Deorari, and Vinod K Paul.
    • Department of Pediatrics, Hindu Rao Hospital, New Delhi, India.
    • Indian J Pediatr. 2010 Oct 1; 77 (10): 1137-42.

    AbstractHypoglycemia 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.

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