121. Hypoglycemia - Lucile Packard Children's Hospital Normal Newborn. hypoglycemia What is hypoglycemia? What are the symptoms of hypoglycemia? Symptoms of hypoglycemia may not be obvious in newborn babies. http://www.lpch.org/DiseaseHealthInfo/HealthLibrary/newborn/ncomhypo.html

Critical Care Transport Services Metabolic/Biochemical Genetics Clinic Pregnancy Services Medical Geneticists ... Becoming Parent Series Normal Newborn Hypoglycemia What is hypoglycemia? Hypoglycemia is a condition in which the amount of blood glucose (sugar) is lower than normal. About two out of 1,000 newborn babies have hypoglycemia. Babies who are more likely to develop hypoglycemia include the following: Babies born to diabetic mothers may develop hypoglycemia after delivery when the source of glucose (the mother's blood) is gone and the baby's insulin production uses up the existing glucose. Small for gestational age or growth-restricted babies may have too few glycogen stores. Premature babies, especially those with low birthweights, often have limited glycogen stores or an immature liver function. The brain depends on blood glucose as its main source of fuel. Too little glucose can impair the brain's ability to function. Severe or prolonged hypoglycemia may result in seizures and serious brain injury. What are the symptoms of hypoglycemia?

122. Hypoglycaemia Department of Neonatal Medicine Protocol Book. Royal Prince Alfred Hospital. Hypoglycaemia. Glucose is an essential nutrient for the brain. http://www.cs.nsw.gov.au/rpa/neonatal/html/newprot/hypogly.htm

123. Hypoglycaemia Of The Newborn Hypoglycaemia of the Newborn. Review of the Literature. World Health Organization. Geneva. 1997. © World Health Organization 1997. WHO http://www.who.int/reproductive-health/docs/hypoglycaemia_newborn.htm

Hypoglycaemia of the Newborn Review of the Literature World Health Organization Geneva © World Health Organization 1997 WHO/CHD/97.1 WHO/MSM/97.1 Distr.: GENERAL This document is not a formal publication of the World Health Organization (WHO), and all rights are reserved by the Organization. The document may, however, be freely reviewed, abstracted, reproduced or translated, in part or in whole, but not for sale or for use in conjunction with commercial purposes. The views expressed in documents by named authors are solely the responsibility of those authors. Contents RECOMMENDATIONS FOR PREVENTION AND MANAGEMENT EXECUTIVE SUMMARY 1. Historical background 1.1 Patterns of hypoglycaemia 6 1.2 "Symptomatic" and "asymptomatic" hypoglycaemia 7 1.3 Neonatal hypoglycaemia: current problems 8 2. Glucose homeostasis and metabolic adaptation at birth 2.1 The fetal nutritional and metabolic environment 9 2.2 The regulation of blood glucose concentration after birth 10 2.3 Metabolic events at birth: the role of insulin and substrates other than glucose 12 2.4 Abnormal glucose homeostasis 14

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