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