Hipoglucemia neonatal - Symptom

Síntomas:

Los bebés con hipoglucemia pueden no presentar síntomas, pero si en verdad ocurren, pueden abarcar los siguientes:

Piel de color azulado (cianosis)
Problemas respiratorios
Disminución del tono muscular (hipotonía)
Gruñidos
Irritabilidad
Desgano
Náuseas, vómitos
Piel pálida
Pausas en la respiración (apnea)
Alimentación deficiente
Respiración rápida
Problemas para mantener el calor corporal
Inestabilidad
Sudoración
Temblores
Convulsiones

Signos y exámenes:

A los recién nacidos en riesgo de sufrir hipoglucemia se les debe practicar un examen de sangre con intervalos de pocas horas después del nacimiento con el fin de medir los niveles de azúcar en la sangre. El médico debe seguir practicando los exámenes de sangre hasta que el nivel de azúcar en la sangre del bebé sea normal.

Otros posibles exámenes:

Examen de detección de trastornos metabólicos en el recién nacido
Exámenes de orina

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.

Referencias

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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