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85: Hypoglycemia of the Newborn
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Published:May 2023
Ashley G. Sutton, MD, FAAP, Alison Sweeney, MD, "Hypoglycemia of the Newborn", Caring for the Hospitalized Child: A Handbook of Inpatient Pediatrics, American Academy of Pediatrics Section on Hospital Medicine, Jeffrey C. Gershel, MD, FAAP, Daniel A. Rauch, MD, FAAP, SFHM
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Neonatal hypoglycemia is commonly screened for, identified, and treated in the newborn period. There is a lack of consensus on the numeric definition of hypoglycemia in infants younger than 48 hours. This is a result of the normal fluctuation of blood glucose values following birth and the unknown (and likely variable) threshold or duration at which long-term neurologic injury may occur due to hypoglycemia. Though the exact glucose value to diagnose hypoglycemia by hour of life is debatable, prevention of hypoglycemia remains a focus in newborns to avoid adverse outcomes.
It takes 4 to 6 hours after birth for neonatal...