A study of blood glucose level in the newborn—From birth to 7 days

Bhalla, M; Srivastava, J. N.; Bhalla, Jaideep; Sinha, D N; Sur, Bijay

doi:10.1007/bf02749456

Cited by 6 publications

(6 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…These results are comparable to a study by Bhalla M et al, were they found that the mean glucose values were directly related to the gestational age. 17 It can be thus concluded that lower the gestational age, the greater will be the risk of hypoglycaemia in babies who are appropriate for gestational age.…”

mentioning

confidence: 99%

Incidence of hypoglycaemia within 72 hours after birth in low birth weight babies who are appropriate for gestational age

Amarendra¹,

Sethi²,

Pericherla³

2018

Int J Contemp Pediatr

View full text Add to dashboard Cite

Background: Neonatal hypoglycemia is a very common metabolic disorder which is due to inability to maintain a normal glucose homeostasis. The most effective method of preventing hypoglycemia is early breast feeding which is preferred to formula feeding. Therefore, author conducted this study to document incidence of hypoglycemia both symptomatic and asymptomatic in exclusively fed with breast milk, low birth weight neonates who are appropriate for gestational age. Aims and objectives of this study was to determine incidence of hypoglycaemia in first 72 hrs of life in low birth weight neonates (1500-2499gm) who are appropriate for gestational age and who are exclusively fed with breast milk. Methods: Prospective cohort study conducted in between December 2015 to November 2017 in which 150 consecutive neonates with a birth weight between 1500 to 2499 grams and appropriate for gestational age, being fed exclusively with breast milk were studied. Results: Out of 150 neonates, 36 (24%) developed one episode of hypoglycemia, 14 (9.4%) newborns had recurrent episodes while 13 (8.66%), and 1 (0.7%) newborn had two and three episodes of hypoglycemia respectively. Applying a cut-off of blood glucose level of 40 mg/dl, the incidence of hypoglycemia was 24%. The less is the gestational age there is higher chance of occurrence of hypoglycemia. PIH is the most common maternal risk factor for neonatal hypoglycemia. Incidence of hypoglycemia is highest during the first 24hrs after birth and jitteriness is the most common symptom of neonatal hypoglycemia. Conclusions: Healthy new-borns in postnatal wards can be exclusively breastfed, but there is needing to closely monitor their blood glucose levels at least in first 72 hrs and asymptomatic hypoglycaemia in new-borns can be managed with frequent breastfeeding without any formula feeds. Amarendra M et al. Int J Contemp Pediatr. 2018 May;5(3):944-948 International Journal of Contemporary Pediatrics | May-June 2018 | Vol 5 | Issue 3 Page 945 hypoglycaemia in the neonates has remained controversial. Keywords 3The operational threshold for hypoglycaemia is currently believed to be a blood glucose value of <40mg/dl (plasma glucose <45mg/dl). 4 Mothers are often in dilemma and apprehensive whether new-borns at risk for hypoglycaemia, like neonates of diabetic mothers, large for gestation age, low birth weight and late-preterm neonates, could be sustained on exclusive breast feeding. Hence, they often offer supplemental feeding, leading to low exclusive breastfeeding rates in the community, especially during first two to three days. Even though occurrence and incidence of hypoglycaemia in neonates is well documented, its occurrence in exclusively breastfed low birth weight new-borns remains undervalued.These new-borns are recommended to be screened for hypoglycaemia, as it has been shown to be associated with poor neurological outcome and low IQ. The most effective method of preventing hypoglycaemia is early breast feeding which is preferred to formula feeding. Therefore, aut...

show abstract

mentioning

confidence: 99%

Incidence of hypoglycaemia within 72 hours after birth in low birth weight babies who are appropriate for gestational age

Amarendra¹,

Sethi²,

Pericherla³

2018

Int J Contemp Pediatr

View full text Add to dashboard Cite

show abstract

“…Miranda LE and Dweck HS [5] stated that very low birth weight babies have the potential problem of hypoglycemia due to diminished hepatic glycogen stores.In present study, blood sugar levels in low birth weight babies were lower than normal birth weight babies both at birth and 72 hours. But no statistically significant correlation was found between values of these two groups at birth and at 72 hours of life.Preterm babies had a group mean value of 39.8 mg% as compared to 47.2 mg% in term babies, as described by Bhalla M et al, [6]. In this study also blood sugar level in preterm babies (mean 63.71 mg/dl) were lower than term babies (mean 69.38 mg/dl) at birth and at 72 hrs of age blood sugar levels in term babies (mean 67.10 mg/dl were much higher than preterm babies (mean 52.61 mg/dl).In a study by Linda LW et al, [7] plasma glucose levels were measured during the first day of life in 24 SGA infants who began formula feedings or breast milk feeding within 2 hours of birth.…”

Section: Discussionmentioning

confidence: 58%

Blood Glucose Level in Term and Preterm Newborns: A Study in Rajshahi Medical College Hospital, Rajshahi, Bangladesh

Shirin¹,

Jamil²,

Uddin³

et al. 2020

SJAMS

View full text Add to dashboard Cite

Original Research Article Glucose, amino acids and lactate are the principal energy substrates during fetal life.Hypoglycemiais one of the common metabolic hazards in neonatal medicine practice. The projected neonatal mortality rate for 2020 based on AARR from 2000-2012 is 22 per 1000 live births. It is possible that neonatal hypoglycemia arising as a consequence of fetal malnutrition, birth asphyxia, post natal hypothermia or infection could be responsible for some of unexplained neonatal death. There is an association between blood glucose level and neurological development. Our study involved 125 newbornsand blood glucose levels were estimatedat birth and at 72 hours by glucose oxidase method. A crosssectional study was conducted in Paediatrics inpatient department, Rajshahi Medical College Hospital duringfrom July-2015 to June-2017. Blood sugar levels in preterm babies were lower than term babies at birth (63.71±15.62 and 69.38±16.53 mg/dl respectively) where findings were not statistically significant. But findings at 72 hours were found to be statistically significant (52.61±10.50 and 67.10±10.11 mg/dl). Incidence of hypoglycemia was 15.2%.Hence forth the above study showed that hypoglycemia is a common problem in preterm babies, by taking simple low cost measures the incidence may be reduced, which may have a major impact on early infant mortality and neurodevelopmental sequel of perinatal origin.

show abstract

“…[11] Whereas in a study by Bhalla et al, mean blood glucose values were higher in female preterms compared to males and Pildes have mentioned that hypoglycemic infants are predominantly males. [23,24] In our study, the common symptoms in hypoglycemic babies were poor feeding, jitteriness, sweating, lethargy and weak cry. Out of which poor feeding, lethargy and jitteriness were the most common symptoms.…”

Section: Section: Paediatricsmentioning

confidence: 51%

“…These results are comparable to a study by Bhalla M et al were they found that the mean glucose values were directly related to the gestational age. [23] In a study by Singhal et al the incidence of hypoglycemia was 12.8% in preterm compared to 3.6% in term babies. [17] It can be thus concluded that lower the gestational age, the greater will be the risk of hypoglycemia in babies who are appropriate for gestational age.…”

Section: Section: Paediatricsmentioning

confidence: 99%

Study of Hypoglycemia in Breastfed Late Preterm Neonates

Saifuddeen¹,

Shafi²

2017

AIMDR

View full text Add to dashboard Cite

Background: Aim: To evaluate the usefulness of regular monitoring of blood glucose in early diagnosis of hypoglycemia in breastfed late preterm neonate. Methods: A total of 100 consecutively born breastfed late preterm neonates were studied and assessed for development of hypoglycemia against age of onset, symptomatology, gestational age and sex of the baby, parity and age of mother, and mode of delivery. Serial blood glucose was done at 0, 1, 3, 6, 12, 24, 48 and 72 hours of life to identify hypoglycemia. Blood glucose was estimated from heel prick capillary samples using glucometer. Association of both maternal and neonatal risk factors was studied in relation to hypoglycemia. Results: The overall incidence of hypoglycemia was 15%. Out of 15 hypoglycemic babies 12(80%) developed symptoms and only 3(20%) were asymptomatic. Most (90%) of the hypoglycemia occurred on the first day of life. Babies born to primi mothers were more prone for hypoglycemia (25%). Highest incidence was seen in babies weighing less than 2 kg (50%). Symptoms of hypoglycemia included poor feeding (66%), lethargy (58%), jitteriness (41%), and weak cry (25%). Conclusion: There is a significant incidence of hypoglycemia in late preterm babies in spite of being on breast feeds. Babies born to primiparous mothers are more prone for hypoglycemia. Also hypoglycemia was very high in babies having birth weight below 2 kg. Therefore it is very important to regularly monitor the blood glucose levels in all late preterm babies even if they are on exclusive breast feeding.

show abstract

A study of blood glucose level in the newborn—From birth to 7 days

Cited by 6 publications

References 17 publications

Incidence of hypoglycaemia within 72 hours after birth in low birth weight babies who are appropriate for gestational age

Incidence of hypoglycaemia within 72 hours after birth in low birth weight babies who are appropriate for gestational age

Blood Glucose Level in Term and Preterm Newborns: A Study in Rajshahi Medical College Hospital, Rajshahi, Bangladesh

Study of Hypoglycemia in Breastfed Late Preterm Neonates

Contact Info

Product

Resources

About