How to recover from neonatal hypoglycemia

Newborns always have some abnormal conditions when they are just born. The most common one is hypoglycemia. However, since the symptoms of the newborn's condition are not so obvious, it is impossible to discover the specific condition of your baby in the first time, which may delay treatment. Therefore, take your baby to the hospital for physical examinations regularly, so that early detection and early treatment can be achieved. The relevant causes of hypoglycemia should be found in time so that the right medicine can be prescribed.

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Treatment includes two aspects : one is to relieve the symptoms of hypoglycemia, and the other is to correct the various potential causes that lead to hypoglycemia. For mild to moderate hypoglycemia, oral sugar water, sugary drinks, or eating candy, biscuits, bread, steamed buns, etc. can relieve the symptoms. For drug-induced hypoglycemia, the relevant drugs should be discontinued promptly. For severe cases and patients suspected of hypoglycemia coma, capillary blood glucose should be measured in time, or even without blood glucose results, 40-60 ml of 50% glucose should be injected intravenously in time, followed by intravenous drip of 5%-10% glucose solution. Do not feed unconscious persons to avoid respiratory suffocation.

Since the threshold of hypoglycemia that causes brain damage cannot be determined, people with hypoglycemia should be treated promptly regardless of whether they have symptoms or not.

1. Patients with asymptomatic hypoglycemia and able to eat

You can eat first and monitor blood sugar closely. If hypoglycemia cannot be corrected, glucose can be infused intravenously.

2. Symptomatic hypoglycemia

Glucose is given intravenously and blood glucose is monitored closely. For patients with persistent hypoglycemia lasting for a long time, hydrocortisone or oral prednisone can be added. Gradually reduce the dosage after blood sugar returns to normal. Extremely low birth weight premature infants have poor glucose tolerance, and attention should be paid to the infusion rate when infusing glucose.

3. Persistent hypoglycemia

Increase the glucose infusion rate. Glucagon may also be given intravenously. Diazoxide can be used for hyperinsulinemia, subtotal pancreatectomy is required for insulinocytosis, and children with congenital metabolic defects are given special dietary therapy.

Most people with hypoglycemia lack typical clinical symptoms, and the clinical manifestations of children with hypoglycemia vary depending on the degree of hypoglycemia. The clinical manifestations of the same hypoglycemia level vary greatly. In a minority of cases, symptoms may manifest clinically as poor response, sweating, pallor, chronic cyanosis, feeding difficulty, drowsiness, apnea, cyanosis, abnormal crying, tremors, shaking, and even convulsions.