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PEDIATRICS Vol. 103 No. 4 April 1999, pp. 837-839

EXPERIENCE AND REASON:
Symptomatic Hypoglycemia in Otherwise Healthy, Breastfed Term Newborns

Received Dec 3, 1997; accepted Sep 18, 1998.

Aideen M. Moore and Max Perlman

Department of Pediatrics and Division of Neonatology Hospital for Sick Children University of Toronto Toronto, Ontario, Canada

Transient symptomatic neonatal hypoglycemia, a diagnosis that is made in the neonatal nursery, is not usually associated with apparently normal infants who have been discharged from hospital. We describe 3 such cases that presented at home on day 3 of life with seizures or life-threatening apneas. We postulate that early discharge of apparently normal infants with marginal nutritional or metabolic adaptation, may expose some infants to postdischarge (but still neonatal) hypoglycemia and its attendant risks.

 Key words:  hypoglycemia, early discharge, encephalopathy, newborn infant.


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