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Review
. 2019 Oct;117(5):S195-S204.
doi: 10.5546/aap.2019.S195.

[Neonatal Hypoglycemia: Review of usual practices]

[Article in Spanish]
Comité de Estudios Feto-Neonatales
Collaborators, Affiliations
Free article
Review

[Neonatal Hypoglycemia: Review of usual practices]

[Article in Spanish]
Comité de Estudios Feto-Neonatales. Arch Argent Pediatr. 2019 Oct.
Free article

Abstract
in English, Spanish

Hypoglycemia can lead to long-term neurological morbidity. Currently, there is no consensus regarding the value that we should consider as a safe limit, and it remains one of the most controversial issues in the management of the newborn. After reading this review we will be able to understand which children require evaluation of blood glucose within the first days of life. Routine glucose detection in healthy term infants is not an evidence-based clinical practice, and should only be reserved for children who are at risk of suffering from it. This review aims to unify the criteria in the management and care of newborns who experience hypoglycemia, therefore, the Committee on Fetal-Neonatal Studies (CEFEN) in collaboration with a group of neonatologists have prepared the following review.

La hipoglucemia puede llevar a morbilidad neurológica a largo plazo. No existe un consenso, actualmente, en cuanto al valor que se debería considerar como límite seguro, y sigue siendo uno de los temas más controversiales en el manejo del recién nacido. Luego de leer esta revisión, se podrá entender cuáles son los niños que requieren evaluación de la glucemia dentro de los primeros díasde vida. La detección rutinaria de glucosa en el neonato sano de término no es una práctica clínica basada en la evidencia y solo debe reservarse para los niños que se encuentran en riesgo de padecerla. Esta revisión tiene por objeto unificar los criterios en el manejo y atención de los recién nacidos que experimentan hipoglucemia; por ello, el Comité de Estudios Feto-neonatales (CEFEN), en colaboración con un grupo de neonatólogos, han elaborado la siguiente revisión.

Keywords: gestational diabetes; neuroglucopenia; perinatal stress; premature infant; transient hypoglycemia.

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Conflict of interest statement

The authors report no conflicts of interest in this work.

References

    1. Committee on Fetus and Newborn, Adamkin DH. Postnatal glucose homeostasis in late-preterm and term infants. Pediatrics. 2011; 127(3):575-9.
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    1. Stanley CA, Rozance PJ, Thornton PS, De Leon DD, et al. Re-evaluating “transitional neonatal hypoglycemia”: mechanism and implications for management. J Pediatr. 2015; 166(6):1520-5.e1.
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    1. Adamkin DH. Glucose Metabolism. In: Polin R, Yoder M. Workbook in Practical of Neonatology. 5a ed. Philadelphia: Elsevier-Saunders; 2015.Págs.47-63.

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