Persistent Hypoglycemia in Premature, Small for Term, and Low Birth Weight Neonates from Mothers with a History of Severe Preeclampsia

Case Report

Authors

  • Asterisa Retno Putri General Practitioner, Wangaya Regional General Hospital, Denpasar, Bali, Indonesia
  • Runi Arumndari General Practitioner, Wangaya Regional General Hospital, Denpasar, Bali, Indonesia
  • Claudia Natasha Liman General Practitioner, Wangaya Regional General Hospital, Denpasar, Bali, Indonesia
  • Putu Siska Suryaningsih Pediatrician, Wangaya Regional General Hospital, Denpasar, Bali, Indonesia

DOI:

https://doi.org/10.55175/cdk.v51i11.1019

Keywords:

Persistent hypoglycaemia, neonates, severe preeclampsia

Abstract

Background: Neonatal hypoglycemia is a metabolic problem that is often found in the NICU and is one of the causes of permanent brain damage in infants. The diagnosis of persistent hypoglycemia and its causes are still controversial. Case: A male baby was born to a mother with severe preeclampsia at 36 weeks of gestation, with a birth weight of 1600 grams. At 1 hour of age, he experienced hypoglycemia that lasted more than 72 hours with the lowest blood sugar of 18 mg/dL, and experienced hyperkalemia (potassium level 6.1 mmol/L). The baby is diagnosed as persistent hypoglycemia. The clinical condition improved after being given dextrose and dexamethasone, and was discharged in stable condition. Conclusion: Management of persistent hypoglycemia depends on the cause. Diagnosis refers to risk factors before or after birth.

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References

Kliegman R, Stanton B. Nelson textbook of pediatrics. 20th Ed. Elsevier Inc; 2020

Stomnaroska-Damcevski O, Petkovska E, Jancevska S, Danilovski D. Neonatal hypoglycemia: A continuing debate in definition and management. PRILOZI. 2015;36(3):91–7. DOI: 10.1515/prilozi-2015-0083.

Gomella T, Eyal Fabian G, Bany-Mohammed F. Gomella’s neonatology: Management, procedures, on-call problems, diseases, and drugs. 8th ed. McGraw Hill/Medical; 2020.

Vain NE, Chiarelli F. Neonatal hypoglycaemia: A never-ending story? Neonatology. 2021;118(5):522–9. DOI: 10.1159/000514711.

Rozenkova K, Guemes M, Shah P, Hussain K. The diagnosis and management of hyperinsulinaemic hypoglycaemia. J Clin Res Pediatr Endocrinol. 2015;7(2):86–97. DOI: 10.4274/jcrpe.1891.

Mandelberg A, Krupnik Z, Houri S, Smetana S, Gilad E, Matas Z, et al. Salbutamol metered-dose inhaler with spacer for hyperkalemia. Chest. 1999;115(3):617–22. DOI: 10.1378/chest.115.3.617.

Stanley CA, Thornton PS, De Leon DD. New approaches to screening and management of neonatal hypoglycemia based on improved understanding of the molecular mechanism of hypoglycemia. Front Pediatr [Internet]. 2023 [cited 2023 May 22];11. Available from: https://www.frontiersin.org/articles/10.3389/fped.2023.1071206

Narvey MR, Marks SD. The screening and management of newborns at risk for low blood glucose. Paediatr Child Health 2019;24(8):536–44. DOI: 10.1093/pch/pxz134.

Kumar JT, Vaideeswaran M, Arasar ST. Incidence of hypoglycemia in newborns with risk factors. Int J Contemp Pediatr. 2018;5(5):1952–5. DOI: 10.18203/2349-3291.ijcp20183538.

Published

07-11-2024

How to Cite

Putri, A. R., Arumndari, R., Liman , C. N., & Suryaningsih , P. S. (2024). Persistent Hypoglycemia in Premature, Small for Term, and Low Birth Weight Neonates from Mothers with a History of Severe Preeclampsia: Case Report. Cermin Dunia Kedokteran, 51(11), 640–643. https://doi.org/10.55175/cdk.v51i11.1019