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Question:

From Curašao, Netherlands Antilles:

Our grandson was born several days ago. Two days later, he was totally lethargic and his blood sugar crashed to 14. For your information, he was a Caesarian birth 5 days early. He was immediately transferred to the neonatal unit where he has been ever since. Now he is being breast fed plus bottle fed with mother's milk every 3 hours and is drinking well.

Since that day, he has been fed dextrose solution via the navel, starting at 25% dextrose which is now reduced to 12.5%. He has also been receiving a medication to prevent the mild jitterings (convulsions) which he had occurred once. His temperature also went down to 35 degrees Celsius (back to normal now). Do you have any info for the cause and/or treatment for a week old baby, or if not please give us a contact who can help us?

Answer:

Your grandchild has received aggressive and appropriate treatment to date. Support of blood glucose was given and is still needed.

Since it has continued for a while other causes might include problems with the pituitary gland, abnormalities of glycogen metabolism as well as abnormalities of other substrates.

Good pediatric endocrinologists face this problem on a regular basis. Your grandchild should be where a pediatric endocrinologist can consult on the case. Alternatively the camaraderie within the island communities should allow for ready consultation between the neonatologist and a pediatric endocrine colleague.

LD

Original posting 28 Nov 1998
Posted to Hypoglycemia

  
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Last Updated: Tuesday April 06, 2010 15:09:02
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