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The etiology of neonatal hypoglycemia
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Hypoglycemia is where neonatal blood glucose less than 2.2mmol/L (40mg/dl) newborns Whether or full-term infants of low birth weight infants. Its rate of approximately 0.1% in full-term infants, preterm infants accounted for 43%.
Common causes are :
(1) of glycogen reserves and consumption imbalance
preterm infants and small for gestational age infants glycogen reserves are the primers The main reason for starting hypoglycemia, and gluconeogenesis hygiene low, the slow response to glucagon. Sick newborns prone to hypoxia, acidosis, low body temperature and low blood pressure, increased catecholamine secretion. there anaerobic metabolism and speed up the consumption of sugar, lower blood sugar.
(2) regulatory mechanism sugar imbalance
mainly depend on insulin to maintain a balance between glucose and glycogen formation sugar-promote glycogen decomposition. Islet cell proliferative diabetic mothers of newborns, excessive secretion of insulin. 4-6 hours after birth often hypoglycemia, sustainable and after 48 hours.
(C) glycogen decomposition obstacles
glycogen storage disease and SGA may be reduced due to decomposition of glycogen hypoglycemia.


This article was posted on 2007-02-27

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