Hypoglycaemia
Definition
Signs often non-specific and subtle: lethargy, poor feeding, irritability, tremors, apnoea, cyanosis, seizures
Investigations
Treatment
Source
Toronto Notes 2012
- Glucose <2.6 mmol!L (40 mg/dL)
- Decreased carbohydrate stores
- Premature
- IUGR
- Infant of a diabetic mother (IDM): maternal hyperglycaemia-+ foetal hyperglycaemia and hyperinsulinaemia-+ hypoglycaemia in the newborn infant because of high insulin levels
- Sepsis
- Endocrine: hyperinsulinaemia due to islet cell hyperplasia (e.g. Beckwith-Wiedemann syndrome), panhypopituitarism
- Inborn errors of metabolism: fatty acid oxidation defects, galactosaemia
Signs often non-specific and subtle: lethargy, poor feeding, irritability, tremors, apnoea, cyanosis, seizures
Investigations
- BSL
Treatment
- IV glucose
- If hyperinsulinaemia, give glucagon
Source
Toronto Notes 2012