Hypoglycemia in Infants
Blood sugar : <40mg/dl
- Inadequate feeding
- Inadequate stores (Preterm , IUGR)
- HyperInsulin (Infant of diabetic mother)
Pedersen Hypothesis :
In Maternal diabetes - high glucose passes to fetus - Thus fetus' Beta cell undergo hyperplasia and increases Insulin.
Thus tell mother to do frequent feeding and we have to do frequent monitoring.
IV dextrose - Start with glucose infusion 3-5mg/kg/min
IM Glucagon (short term measure to tide over hypoglycemia)
- Peripheral Vein : till 12.5% glucose can be given.
- Central Vein (Umblical vein) : if >12.5% glucose to be given.