Neonatal hypoglycemia

Current Opinion in Pediatrics
David H Adamkin

Abstract

The screening and management for neonatal hypoglycemia remains a confusing and contentious problem in neonatology. The purpose of this article is to contrast recent recommendations from the American Academy of Pediatrics and the Pediatric Endocrine Society. Using different methodologies, the organizations have significant differences on whom to screen and what levels of glucose should be used for management. The identification of the first 48 h as a transitional hyperinsulinemic state is a new important concept. The neuroendocrine approach is contrasted with a neurodevelopmental strategy to find levels that exceed those associated with neuroglycopenia. The questions remain the same when it comes to screening and management of neonatal low-glucose levels. Recent outcome studies with differing results continue to add to the controversy as to what to do at the bedside. It is uncertain if universal screening of glucose levels in the first hours should be applied to all newborn infants. Persistent hypoglycemic syndromes must be identified prior to discharge.

Associated Clinical Trials

References

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Citations

Oct 13, 2017·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Ruben BromikerFloris Levy-Khademi
May 12, 2016·Maternal Health, Neonatology and Perinatology·Paul J Rozance, William W Hay
Jul 12, 2017·Hospital Pediatrics·Esther K ChungDaniel Rauch
Sep 22, 2017·Maternal Health, Neonatology and Perinatology·Deepak Sharma
Nov 19, 2019·Fetal and Pediatric Pathology·María Del Mar Fernández MartínezAntonio Bonillo Perales
Nov 2, 2019·Archives of Disease in Childhood. Fetal and Neonatal Edition·Alana R CumberpatchDeborah L Harris
Oct 3, 2019·The Journal of Maternal-fetal & Neonatal Medicine : the Official Journal of the European Association of Perinatal Medicine, the Federation of Asia and Oceania Perinatal Societies, the International Society of Perinatal Obstetricians·Deepak SharmaNazanin Farahbakhsh
Sep 4, 2020·Neonatal Network : NN·Maria Kristina Chappe
Jun 9, 2017·Prilozi·Orhideja StomnaroskaDragan Danilovski
Mar 11, 2020·Journal of Perinatology : Official Journal of the California Perinatal Association·Sagori MukhopadhyayKaren M Puopolo
Oct 5, 2020·Prilozi·Orhideja StomnaroskaDragan Danilovski
Aug 19, 2021·The Journal of Clinical Endocrinology and Metabolism·Myat WinKathryn Beardsall

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Methods Mentioned

BETA
Cesarean sections

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