Patient's question:
Low blood sugar was detected at birth. Then admitted to the neonatal ward. Has been there for 5 days. Blood sugar is still unstable, low milk intake, abdominal pain. But defecating 2-3 times every day.Doctor's answer:
The reasons for recurrent hypoglycemia in newborn infants are relatively complex. It is recommended to conduct a comprehensive and thorough examination to identify the cause of hypoglycemia.Hello, the reasons for recurrent hypoglycemia in newborns include the following aspects:
1. Newborns of diabetic mothers.
2. Newborns with polycythemia or microcephaly, large internal organs, and large tongues should consider hyperinsulinemia.
3. When liver enlargement is present, consider various enzyme deficiencies.
Clinical diagnosis involves detailed medical history and meticulous physical examinations to identify clues of hypoglycemia. Necessary tests should be performed. Blood should be drawn promptly to measure insulin, ketones, alanine, lactate, blood lipids, and uric acid, which serve as data for differential diagnosis and confirmation. If necessary, observe the response to the glucagon challenge test.