Hypoglycemia in 24 hr baby

By | 15th May 2012

 

 

Definition

Blood glucose level less than 40mg/dl in a term or premature infant is called hypoglycemic.

 

Etiology

 

a)      decreased stores

·        prematurity

·        IUGR

·        Starvation

 

b)      Hyperinsulinism

·        Infant of diabetic mother

·        Erythroblastosis

·        Insulin producing tumors

c)      miscellaneous

·        polycythemia

·        sepsis

·        asphyxia

·        hypothermia

·        glycogen storage disease

·        fructose intolerance disease

·        galactosemia

 

Clinical features

 

a)      tremors

b)      seizures

c)      Lethargy, limpness, poor feeding.

d)      Cyanosis

 

Investigations

Blood glucose level (less than 40 mg /dl)

 

Treatment

 

IV glucose