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Metabolic Diseases in Hypoglycemic Newborns, Pediatric

Tamanna R. Roshan Lal, MBChB and Ada Hamosh, MD, MPH Reviewed 10/2018
 


BASICS

DESCRIPTION

  • Hypoglycemia is a frequent finding in the neonatal period, which results from the imbalance between carbohydrate intake, endogenous glucose production, and tissue usage.

  • Neonates stab...

DIAGNOSIS

HISTORY

  • Family history: Because inborn errors of metabolism are genetic disorders, patients may have a family history of poorly explained pediatric death. Diagnoses to ask about include the f...

TREATMENT

Presumptive treatment should not await a definitive diagnosis but should be based on clinical suspicion and initial labs. 

GENERAL MEASURES

  • A well-appearing neonate with a low dextrose stick s...

ONGOING CARE

COMPLICATIONS

Recurrent and severe hypoglycemic episodes affect neurocognitive development. 

ADDITIONAL READING

  • Datye KA, Bremer AA. Endocrine disorders in the neonatal period. Pediatr Ann.  2013;42(5):67–73. [View Abstract on OvidInsights]

  • Hoe FM. Hypoglycemia in infants and children. Ad...

CODES

ICD9

  • 775.6 Neonatal hypoglycemia

  • 277.9 Unspecified disorder of metabolism

  • 277.85 Disorders of fatty acid oxidation

  • 270.0 Disturbances of amino-acid transport

ICD10

  • P70.4 Other neonatal hypoglycemia

  • E88...

FAQ

  • Q: Why is hypoglycemia dangerous?

  • A: Glucose is a crucial source of rapidly available energy for many tissues, especially the brain. Prolonged hypoglycemia causes CNS damage.

  • Q: Why are the critical...

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