Overview
What is neonatal hypoglycemia?
What are the signs and symptoms of neonatal hypoglycemia?
What are the autonomic nervous system symptoms of neonatal hypoglycemia?
What are the clinical manifestations of neonatal hypoglycemia?
Which lab studies are performed in the evaluation of neonatal hypoglycemia?
What is the role of angiography in the evaluation of neonatal hypoglycemia?
How is neonatal hypoglycemia managed?
What is the role of surgery in the management of neonatal hypoglycemia?
What is neonatal hypoglycemia?
What are the causes of neonatal hypoglycemia?
What information about neonatal hypoglycemia should parents receive?
What is the role of glucose metabolism in the pathogenesis of neonatal hypoglycemia?
What is the role of the liver and the hypothalamus in the pathogenesis of neonatal hypoglycemia?
What are the causes of neonatal hypoglycemia?
What are risk factors for the development of neonatal hypoglycemia?
What are the causes of hypoglycemia in older infants, children, and teenagers?
What is the role of hyperinsulinemia in the etiology of neonatal hypoglycemia?
What is the incidence of neonatal hypoglycemia in the US?
What is the prevalence of inborn errors of metabolism leading to neonatal hypoglycemia?
What is the global incidence of neonatal hypoglycemia?
What is the prognosis of neonatal hypoglycemia?
Presentation
Which clinical history is characteristic of neonatal hypoglycemia?
Which high-risk groups should be screened for neonatal hypoglycemia?
Which clinical history is characteristic of hyperinsulinemia?
Which history is characteristic of ketotic hypoglycemia?
What are the signs and symptoms of neonatal hypoglycemia?
What are the autonomic nervous system signs and symptoms of neonatal hypoglycemia?
What are the signs and symptoms of hypoglycorrhachia or neuroglycopenia?
DDX
Which conditions should be included in the differential diagnoses of neonatal hypoglycemia?
What are the differential diagnoses for Neonatal Hypoglycemia?
Workup
What is the role of fingerstick glucose testing in the diagnosis of neonatal hypoglycemia?
What is the role of serum or plasma glucose measurement in the workup of neonatal hypoglycemia?
What is the role of serum insulin in the workup of neonatal hypoglycemia?
What is the role of urine testing in the workup of neonatal hypoglycemia?
What is the role of neonatal screening in the diagnosis of neonatal hypoglycemia?
What is the role of imaging studies in the diagnosis of neonatal hypoglycemia?
Treatment
What is included in the initial treatment of neonatal hypoglycemia?
What is included in emergency department (ED) care for neonatal hypoglycemia?
When is inpatient care indicated for neonatal hypoglycemia?
What is the role of surgery in the treatment of neonatal hypoglycemia?
Medications
What is the role of drug treatment for neonatal hypoglycemia?
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Normal hypoglycemic counterregulation.