• Corpus ID: 91179531

Incidence of Hypoglycemia in High Risk Neonates and Its Relationship with Gestational Age Birth Weight and Ponderal Index

@inproceedings{Kanagagiri2018IncidenceOH,
  title={Incidence of Hypoglycemia in High Risk Neonates and Its Relationship with Gestational Age Birth Weight and Ponderal Index},
  author={Kanagagiri and Tomba Singh},
  year={2018}
}
Background: Hypoglycemia is one of the most frequently encountered metabolic problems in newborn infants. In general, the incidence varies from 1 to 5%. However, the incidence increases many fold in the presence of risk factors. The absence of overt symptoms at low glucose levels does not rule out central nervous system injury. In order to prevent brain damage, blood glucose should be routinely estimated in the following high risk situations. This present study was planned to study the… 

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References

SHOWING 1-10 OF 14 REFERENCES

Incidence of hypoglycemia in newborn infants classified by birth weight and gestational age.

TLDR
The combination of reduced energy reserves in newborn infants with intra-uterine growth retardation, plus the increased utilization of carbohydrates during birth hypoxia, resulted in a high incidence of neonatal hypoglycemia in the first few hours after birth.

Does early enteral feeding prevent hypoglycemia in small for gestational age neonates?

TLDR
This study suggests that early enteral feeding does not predict hypoglycemia in this cohort of SGA neonates.

Hypoglycemia in small for gestational age babies

TLDR
Plasma insulin/glucose ratio was significantly higher in hypoglycemic than non-hypoglycemic babies, whereas the cortisol levels were similar, which indicates that small for gestational age babies are highly prone to develop hypoglycemia in first 24 hrs of life.

Hypoglycemia in term newborns with a birth weight below the 10th percentile.

TLDR
There was no difference in the incidence of hypoglycemia among SGA infants with a birth weight below the fifth percentile versus those with a BW between the 10th and fifth percentile, using recently updated growth curves.

The frequency of hypoglycemia in full-term large and small for gestational age newborns.

  • P. Holtrop
  • Medicine
    American journal of perinatology
  • 1993
TLDR
Screening for hypoglycemia in LGA infants whose mothers are not diabetic may be stopped after 12 hours, but should continue for 48 hours in SGA infants.

Incidence of hypoglycemia in the low-birth-weight neonate.

Of 179 consecutively born single infants whose birth weights were below the twenty-fifth percentile for gestational age, four were hypoglycemic in the first 18 hours of age with true blood glucose

Patterns of Cerebral Injury and Neurodevelopmental Outcomes After Symptomatic Neonatal Hypoglycemia

TLDR
Pregnancy-induced hypertension, a family history of seizures, emergency cesarean section, and the need for resuscitation were more common among case subjects than control subjects and patterns of injury associated with symptomatic neonatal hypoglycemia were more varied than described previously.

Controversies regarding definition of neonatal hypoglycemia: suggested operational thresholds.

TLDR
Pragmatic recommendations for operational thresholds, ie, blood glucose levels at which clinical interventions should be considered, are offered in light of current knowledge to aid health care providers in neonatal medicine.