What Causes Hypoglycemia In New Born?
Frequent feeds with glucose supplement will help
Detailed Answer:
Hello
Thanks for the query
There can be various causes of hypoglycemia in new born right with varying severity right from decreased oral acceptance or infant of diabetic mother to excessive insulin production(insulinoma).The final management depends on the underlying disorder.Medications like diazoxide,glucagon helps in increasing the glucose level.A battery of test like urine test,serum insulin,tendem mass spectroscopy and cortisol level is needed to find out the underlying cause.
The transient improvement in blood sugar level can be done with supplementation of feeds with glucose.
I would like to know the birth weight(term/preterm) of the baby and also the current medication and diagnosis so that I better able to help you out.Meantime monitor blood sugar regularly and give feed supplemented with glucose to control sugar level.
I shall be glad to answer if you have any more query.
Regards
Dose of diazoxide may need to be increased to maximum
Detailed Answer:
Thanks for the follow up
As your doctors have said that the hypoglycemia is due to increased insulin production I assume that she has undergone all the investigations(it is important to know the underlying cause of increased insulin production as management would be based on that only) and are normal.
In this condition where all the tests are normal the dose of Diazoxide needs to be increased to combat this transient hyperinsulinemia.
Even after this if blood sugar is fluctuating I would like to get her admitted in hospital and to start some other medication like somatostatin or octreotide for maintaining the blood sugar as repeated hypoglycemia has its own detrimental effects.
Regards