Treatment of neonatal hypoglycemia

1, asymptomatic hypoglycemia children can eat first, and closely monitor blood sugar, hypoglycemia can not be corrected by intravenous infusion of glucose. For newborns who may have hypoglycemia, start feeding 10% glucose 1 hour after birth and start breastfeeding 2-3 hours after birth;

2. Children with symptomatic hypoglycemia need intravenous infusion of glucose. During the treatment, they should monitor the trace blood sugar every hour. If the symptoms disappear and the blood sugar is normal, they should gradually stop infusion of glucose and feed them in time. After 24-48 hours of birth, they should be given physiological needs of sodium chloride and potassium chloride. Hydrocortisone can be added to patients with intractable hypoglycemia for a long time, and the blood sugar will gradually decrease after normal. Very low birth weight premature infants have poor tolerance to glucose, so attention should be paid to the input speed when injecting glucose;

3. Persistent and recurrent hypoglycemia: For children with recurrent or persistent hypoglycemia, blood insulin, glucagon, T4, TSH, growth hormone and cortisol should be measured. If necessary, hematuria, amino acids and organic acids should be measured, and abdominal B-ultrasound or CT examination should be performed to detect whether there is islet cell proliferation or islet adenoma; Pay attention to improving the rate of glucose infusion in treatment, and also inject glucagon intravenously; Diazine can be used for insulinemia, subtotal pancreatectomy is needed for insulinemia, and special diet therapy is given to children with congenital metabolism.

Neonatal hypoglycemia refers to the fact that the blood sugar caused by various reasons is lower than the minimum blood sugar value of normal newborns. At present, the whole blood sugar below 2.2mmol/L is mostly used to diagnose hypoglycemia at home and abroad, and below 2.6mmol/L is the threshold value for clinical treatment. Because neonatal hypoglycemia can cause irreversible brain damage, we must pay attention to it. Generally, brain tissue damage depends on the severity and duration of hypoglycemia, so the baby should deal with hypoglycemia in time to avoid persistent hypoglycemia.