Neonatal hypoglycaemia

Question 1

What is neonatal hypoglycaemia?

Answer 1

<2.5mmol/L

Question 2

What threshold is glucose raised to in infants with sus hyperinsulinusm in first 48 hours?

Answer 2

<3 mmol/L

Question 3

What groups of babies merit medical attention to do with hypoglycaemia?

Answer 3

Risk factors
Symotoms or signs
Persistent or refractory

Question 4

Signs and symptoms of hypoglycaemia in the neonate

Answer 4

• Hypotonia
• Lethargy (excessive sleepiness with or without abnormal tone)
• Poor feeding
• Hypothermia
• Apnoea
• Irritability
• Pallor
• Tachypnoea
• Tachycardia or bradycardia
• Seizures
• Abnormal feeding behaviour (not waking for feeds, not sucking effectively, appearing unsettled and demanding very frequent feeds especially after a period of feeding well)

Question 5

Management of hypoglycaemia

Answer 5

Feeding early and reguarly and keeping baby warm - prevent in first plaec

Question 6

Risk factors for hypo in neonate

Answer 6

IUGR in term infants
<37 weeks
Maternal diabetes
Macrosomic babies (>4.5kg)
Infants of mothers taking beta blockers in 3rd trimester or at time of delivery
Hypothermia
Hypoxia

Question 7

How much does a macrosomic baby weigh?

Answer 7

> 4.5 kg

Question 8

What is hypothermia in neonate?

Answer 8

<36.5 degrees persisting despite treatmetn

Question 9

Hypoxia in neonates is

Answer 9

Babies who required prolonged resus > 10 mins
OR
Cord pH < 7.1 and/or BE > -12