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Neonatal hypoglycemia - Symptom

Symptoms:

Infants with hypoglycemia may not have symptoms. If they do occur, symptoms may include:

  • Bluish-colored skin (cyanosis)
  • Breathing problems
  • Decreased muscle tone (hypotonia)
  • Grunting
  • Irritability
  • Listlessness
  • Nausea, vomiting
  • Pale skin
  • Pauses in breathing (apnea)
  • Poor feeding
  • Rapid breathing
  • Problems with maintaining body heat
  • Shakiness
  • Sweating
  • Tremors
  • Seizures

Signs and tests:

Newborns at risk for hypoglycemia should have a blood test to measure blood sugar levels every few hours after birth. The health care provider should continue taking blood tests until the baby' s blood sugar level is consistently normal.

Other possible tests:

  • Newborn screening for metabolic disorders
  • Urine tests
  • Reviewed last on: 12/11/2009
  • Kimberly G. Lee, MD, MSc, IBCLC, Associate Professor of Pediatrics, Division of Neonatology, Medical University of South Carolina, Charleston, SC. Review provided by VeriMed Healthcare Network. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

References

Stanley CA, Baker L. The causes of neonatal hypoglycemia. N Engl J Med. 1999 Apr 15;340(15):1200-1.

Cornblath M, Hawdon JM, Williams AF, Aynsley-Green A, Ward-Platt MP, Schwartz R, Kalhan SC. Controversies regarding definition of neonatal hypoglycemia: suggested operational thresholds. Pediatrics. 2000;105:1141-1145.

Still BJ, Kliegman RM. The endocrine system. In: Behrman RE, Kliegman RM, Jenson HB, eds. Nelson Textbook of Pediatrics. 17th ed. Philadelphia, Pa: Saunders Elsevier;2004:chap 96.

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