Neonatal Hypoglycemia

Neonatal Hypoglycemia: Evidences and Practice Prof. Pushpa Raj Sharma Department of Child Health

Why This Topic is Important? ,[object Object],[object Object],[object Object],[object Object]

Koivisto M, Blaco-Sequeiros M, Krause U. Neonatal symptomatic hypoglycaemia: a follow-up study of 151 children. Dev Med. Child Neurol 1972; 14:603-14 ,[object Object]

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Lucus A, Morley R, Cole TJ. ,[object Object],[object Object],[object Object]

Kinnala et al. Cerebral magnetic resonance imaging and ultrasonography findings after neonatal hypoglycemia. Pediatrics 103; 1999 ,[object Object],[object Object],[object Object],[object Object]

Kinnala et al. Cerebral magnetic resonance imaging andultrasonography findings after neonatal hypoglycemia. Pediatrics 103; 1999 ,[object Object],[object Object],[object Object],[object Object],[object Object]

Glucose Physiology in a Nutshell! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Glucose Physiology II…. ,[object Object],[object Object],[object Object],[object Object],[object Object]

Definition of neonatal hypoglycemia ,[object Object],[object Object]

Approaches to defining neonatal hypoglycemia! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Serum level? ,[object Object],[object Object],[object Object],[object Object]

Operational Threshold ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Proposed Operational Thresholds ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Proposed Operational Thresholds ,[object Object],[object Object],[object Object]

Operational Thresholds: How to use them? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Who’s at Risk? What could be the cause? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

At Risk Infants/Causes II… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

At Risk Infants/Causes III… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

When do you screen these “at risk” babies? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Practical Points for Blood Glucose Estimation ,[object Object],[object Object],[object Object],[object Object],[object Object]

So…….. ,[object Object],[object Object]

All others at risk: ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Just some tips…. ,[object Object],[object Object]

What can be done to prevent it? ,[object Object],[object Object],[object Object],[object Object]

What if hypoglycemia occurs prolonged, recurrent or persistent? ,[object Object],[object Object]

What if hypoglycemia occurs prolonged, recurrent or persistent? ,[object Object],[object Object],[object Object],[object Object]

What tests should you do? What is your management? ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

Research Topic for Anyone? Department? MD Thesis? ,[object Object],[object Object]

Great References… ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]

“ A man with a watch knows what time it is. A man with two watches is never sure” Thank you for your attention. I hope it was interesting. Please give your feed back,, you may not write your name.

Neonatal Hypoglycemia

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Neonatal Hypoglycemia