However, controversy remains surrounding its definition and management especially in asymptomatic patients. [ncbi.nlm.nih.gov]

Asymptomatic hypoglycemic (blood glucose level Results: Dextrose gel with feeds increased the blood glucose level in 184/250 (74%) of asymptomatic hypoglycemic infants compared to 144/248 (58%) with feeds only (p 0.01). [karger.com]

The level of blood glucose at which treatment is recommended in asymptomatic babies is unclear. Blood glucose levels as low as 30 mg/dL in the first 1–2 hours after birth in asymptomatic babies may not be harmful. [babygooroo.com]

Hypothermia 5. Hyperviscosity 6. Erythroblastosis fetalis, fetal hydrops 7. Other a. Iatrogenic causes b. Congenital cardiac malformations C. Intrauterine growth restriction D. Hyperinsulinism E. Endocrine disorders F. [aafp.org]

Factors which increase the risk of hypoglycemia • Various factors which increase the risk of hypoglycemia are hypothermia & cold Stress, cold environment, wet baby and inadequate feeding. 6. [slideshare.net]

Neuroglycopenic signs include seizure, coma, cyanotic episodes, apnea, bradycardia or respiratory distress, and hypothermia. Listlessness, poor feeding, hypotonia, and tachypnea may occur. [msdmanuals.com]

Symptoms Jittery or Tremors Lethargic Hypotonia Apnea Hypothermia Cyanosis Seizures Weak or high pitched cry Poor feeding V. [fpnotebook.com]

A 6-day old term infant born to a non-diabetic mother was admitted to our hospital with, seizures, irritability and poor feeding. The infant's Apgar score was 8 at 1 minute and 9 at 5 minutes and weighed 3100 g. [ijri.org]

Ictal manifestations of main seizures were identical to occipital lobe seizures, such as eye deviation, eye blinking, ictal vomiting, and visual hallucination. [ncbi.nlm.nih.gov]

Adrenergic signs include diaphoresis, tachycardia, lethargy or weakness, and shakiness. Neuroglycopenic signs include seizure, coma, cyanotic episodes, apnea, bradycardia or respiratory distress, and hypothermia. [msdmanuals.com]

View/Print Table TABLE 1 Clinical Signs Associated with Hypoglycemia* Changes in levels of consciousness Irritability Lethargy Stupor Apnea, cyanotic spells Coma Feeding poorly after feeding well Hypothermia Hypotonia, limpness Tremor Seizures TABLE 1 [aafp.org]

The most common clinical manifestations can include altered level of consciousness, seizure, vomiting, unresponsiveness, and lethargy. [emedicine.medscape.com]

Some infants will display no obvious symptoms, while others will exhibit lethargy, apnea, a bluish hue to the skin, low body temperatures, jitters, and in severe cases, seizures. [thurswell.com]

Nine children with neonatal seizures had moderate or severe white matter injury and 7 had cortical involvement. At 18-month follow-up of 34 children, outcome was normal in 8, showed mild impairment in 15, moderate in 8, and severe impairment in 3. [pediatricneurologybriefs.com]

seizures -- Intraventricular hemorrhage -- Surgical emergencies in the newborn -- Necrotizing enterocolitis. [worldcat.org]

Figures and Tables - Analysis 1.5 Comparison 1 Dextrose gel versus control, Outcome 5 Neonatal seizures. Figures and Tables - Analysis 1.6 Comparison 1 Dextrose gel versus control, Outcome 6 Exclusive breast feeding after discharge (WHO definition). [cochranelibrary.com]

Neonatal seizure s ‐ No seizures occurred in the dextrose gel or placebo group in the one study that reported this outcome (one study, 237 infants). Therefore, the odds ratio is not estimable. [doi.org]

“In approximate order of frequency there are jitteriness or tremors, apathy, episodes of cyanosis, convulsions, intermittent apneic spells or tachypnea, weak or high-pitched cry, limpness or lethargy, difficulty in feeding, and eye rolling. [cps.ca]

[…] judgment Nonspecific dysphoria, moodiness, depression, crying, exaggerated concerns Feeling of numbness, pins and needles (paresthesia) Negativism, irritability, belligerence, combativeness, rage Personality change, emotional lability Fatigue, weakness, apathy [en.wikipedia.org]

Other neurologic problems included developmental delays, learning and behavior problems, hyperactivity and attention difficulties, autistic features, microcephaly and cortical blindness. [ncbi.nlm.nih.gov]

This glycolytic pathway along with free fatty acids increases adenosine triphosphate (ATP) production within the β-cell. KATP channels consist of two subunits, the sulfonylurea (SUR) and the inward rectifier potassium channel (Kir6.2) subunits. [ncbi.nlm.nih.gov]

In addition, the incidence of neurodevelopmental delay was 44%.51 Adverse outcomes are presumed to be caused by hypoketotic hypoglycemia, but there may be other genetic abnormalities affecting neurodevelopment in this patient population as yet unidentified [ncbi.nlm.nih.gov]

Activating mutations of glucokinase (GCK) ( Fig. 1 ), the “glucose sensor” of the β-cell, are rare and, depending on the mutation, may cause fasting hypoglycemia in varying degrees at varying ages of life ( 8 ). [diabetes.diabetesjournals.org]

Protein-sensitive and fasting hypoglycemia in children with the hyperinsulinism/hyperammonemia syndrome. J Pediatr. 2001;138:383–9. PubMed CrossRef Google Scholar 16. Bahi-Buisson N, Roze E, Dionisi C, Escande F, Valayannopoulos V, Feillet F, et al. [link.springer.com]

HI Patients with this disorder present post-prandial and fasting hypoglycemia and permanent hyperammoniemia, neurological signs and epilepsy occur later in infancy and are not consequences of recurrent hypoglycemia [17]. [latunisiemedicale.com]