PEDIATRICS Vol. 58 No. 1 July 1976, pp. 18-22
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Hypoglycemia in Small-for-Dates Newborn Infants

Richard de Leeuw M.D.1 and Ivan J. de Vries 1

1 Neonatal Department, University of Amsterdam, Academisch Ziekenhuis Wilhelmina Gasthuis, Amsterdam, The Netherlands

In 24% (18 out of 76) small-for-dates a "significant" though asymptomatic hypoglycemia was demonstrated during the first six hours of life. The cord blood glucose concentration was lower in the hypoglycemic compared to that of the small-for-date normoglycemic group.

In the hypoglycemic infants, the disappearance rate of glucose was significantly elevated and the lipid mobilization disturbed.

It is suggested that a lack of lipids for energy metabolism increases the glucose expenditure and hence increases the risk for hypoglycemia.

Submitted on June 11, 1974
Accepted on December 5, 1975




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S. K. Bhowmick and C. Lewandowski
Prolonged Hyperinsulinism and Hypoglycemia: In an Asphyxiated, Small for Gestation Infant Case Management and Literature Review
Clinical Pediatrics, December 1, 1989; 28(12): 575 - 578.
[Abstract] [PDF]