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Suggest Treatment For Transient Hypoglycemia In Infant
Question: Hi doctor,
My daughter was born on 2nd XXXXXXX 2016. Her weight is 2.5 kgs. Her blood sugar level immediately after birth went down to 26 and then to 8. Then she was kept in nicu under observation for 24 hours and this stabilised her sugar level to 86. Doctor has written she received limp after birth. Her overall condition is fine now and she is very normal and accepting feeds very well. She moves her hands and legs normally. I am little anxious thinking that her overall health is fine and reduced sugar level hasn't affected her in anyway negatively. Please help me as I am extremely worried.
My daughter was born on 2nd XXXXXXX 2016. Her weight is 2.5 kgs. Her blood sugar level immediately after birth went down to 26 and then to 8. Then she was kept in nicu under observation for 24 hours and this stabilised her sugar level to 86. Doctor has written she received limp after birth. Her overall condition is fine now and she is very normal and accepting feeds very well. She moves her hands and legs normally. I am little anxious thinking that her overall health is fine and reduced sugar level hasn't affected her in anyway negatively. Please help me as I am extremely worried.
Brief Answer:
Do not worry
Detailed Answer:
Hi
I understand your concerns but do not worry. Transient hypoglycemia is seen in the first 24 hours of life in many babies. Prompt treatment and early recovery of your baby with no associated symptoms such as seizures, lethargy, poor sucking, excessive cry even after 4 days of life suggest a healthy outcome.
I would recommend you to ensure regular breastfeeding. Good diet and plenty of fluids for mother will help in enough feeds.
Risk of brain affection are more if hypoglycemia is associated with risk factors such as:
- prematurity, intrauterine growth retardation
-gestational diabetes in mother
- Asphyxia suggested by poor Apgar ( less than 6 at 5 minutes), seizures
- polycythemia (Hematocrit more than 65)
- pathological jaundice
-neonatal infection
-persistent hypoglycemia (inborn errors in metabolism)
I would recommend you for neurodevelopment assessment at 1 month and on vaccination visits. No other treatment at present is required.
Hopefully she will be fine.
Take care
Do not worry
Detailed Answer:
Hi
I understand your concerns but do not worry. Transient hypoglycemia is seen in the first 24 hours of life in many babies. Prompt treatment and early recovery of your baby with no associated symptoms such as seizures, lethargy, poor sucking, excessive cry even after 4 days of life suggest a healthy outcome.
I would recommend you to ensure regular breastfeeding. Good diet and plenty of fluids for mother will help in enough feeds.
Risk of brain affection are more if hypoglycemia is associated with risk factors such as:
- prematurity, intrauterine growth retardation
-gestational diabetes in mother
- Asphyxia suggested by poor Apgar ( less than 6 at 5 minutes), seizures
- polycythemia (Hematocrit more than 65)
- pathological jaundice
-neonatal infection
-persistent hypoglycemia (inborn errors in metabolism)
I would recommend you for neurodevelopment assessment at 1 month and on vaccination visits. No other treatment at present is required.
Hopefully she will be fine.
Take care
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Thanks for your answer doctor. I was kept on 2 doses of glyciphage SR 500 throughout pregnancy plus regular walk. This kept my sugar level in control throughout. Can this be a threat to baby's normal development in anyway?
What do you mean by neurodevelopment assessment? Does it mean measurement of head circumference? Thanks.
What do you mean by neurodevelopment assessment? Does it mean measurement of head circumference? Thanks.
Brief Answer:
Regular assessment for growth and development
Detailed Answer:
Hi
Due to your gestational diabetes, your baby must have had high insulin production in fetal life. This has lead to hypoglycemia in the immediate period after birth. But now the phase is over and hopefully she should be fine.
By regular neurodevelopment assessment, I mean regular clinical check ups to look for any signs of poor growth and development. This includes checking for baby's reflexes, measurements and achievement of developmental milestones. This is important in any baby.
Hopefully this will be of help.
Take care
Regular assessment for growth and development
Detailed Answer:
Hi
Due to your gestational diabetes, your baby must have had high insulin production in fetal life. This has lead to hypoglycemia in the immediate period after birth. But now the phase is over and hopefully she should be fine.
By regular neurodevelopment assessment, I mean regular clinical check ups to look for any signs of poor growth and development. This includes checking for baby's reflexes, measurements and achievement of developmental milestones. This is important in any baby.
Hopefully this will be of help.
Take care
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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