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Related Concept Videos

Hypoglycemia and Glucagon01:15

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Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
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Diabetes mellitus is a chronic metabolic disorder characterized by hyperglycemia. The four categories of diabetes are type 1 diabetes, type 2 diabetes, other specific types of diabetes, and gestational diabetes.
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Phenylketonuria (PKU) is a protein metabolism disorder characterized by high blood levels of the amino acid phenylalanine. This results from a mutation in the gene responsible for phenylalanine hydroxylase, an enzyme that converts phenylalanine into tyrosine. When this enzyme is deficient, phenylalanine builds up in the blood, leading to symptoms such as vomiting, rashes, seizures, growth deficiency, and severe mental retardation. An early diagnosis and a diet restricting phenylalanine intake...
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Type 2 diabetes, characterized by insulin resistance, arises when the insulin receptors on cells lose responsiveness to insulin, diminishing the cell's capacity to take up glucose, resulting in elevated blood glucose levels. To receive a diagnosis of Type 2 diabetes, a series of blood glucose tests are necessary to assess whether the blood glucose falls within normal parameters. If the result is out of the normal range, a patient may be diagnosed as prediabetic or diabetic, depending on the...
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Glucose Transporters01:27

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Glucose transporters facilitate the transport of glucose across the cell membrane. In addition to glucose, some glucose transporters can also aid the movement of other hexoses such as fructose, mannose, and galactose.
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Diabetes mellitus is a chronic metabolic disorder characterized by high blood glucose levels due to inadequate insulin production, insulin resistance, or both. The condition affects millions worldwide and can significantly impact their health and quality of life.
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Biochemical Measurement of Neonatal Hypoxia
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Neonatal hypoglycemia.

David H Adamkin1

  • 1Division of Neonatal Medicine, Department of Pediatrics, University of Louisville School of Medicine, Louisville, KY, USA.

Seminars in Fetal & Neonatal Medicine
|September 9, 2016
PubMed
Summary
This summary is machine-generated.

Defining neonatal hypoglycemia remains challenging despite advances in understanding glucose regulation. Current knowledge gaps persist regarding safe glucose thresholds and duration for newborns.

Keywords:
Glucose homeostasisHypoglycemiaNeuroglycopenia

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Area of Science:

  • Neonatal Medicine
  • Endocrinology
  • Metabolic Disorders

Background:

  • Neonatal hypoglycemia lacks a universally agreed-upon definition within the first 48 hours of life.
  • Advances in understanding metabolic and genetic factors influencing postnatal glucose homeostasis have improved insights into transitional hypoglycemia.

Purpose of the Study:

  • To review the current understanding of neonatal hypoglycemia.
  • To highlight the divergence in expert opinions on defining critical glucose levels and durations.

Main Methods:

  • Literature review of current research on neonatal hypoglycemia.
  • Analysis of differing expert opinions and their basis.
  • Synthesis of information on metabolic disturbances and genetic disorders affecting glucose homeostasis.

Main Results:

  • Despite increased knowledge, a consensus definition for neonatal hypoglycemia is still lacking.
  • Significant variations exist among expert opinions regarding "how low is too low" and for how long glucose levels should be maintained.

Conclusions:

  • Further research and consensus-building are needed to establish clear guidelines for neonatal hypoglycemia.
  • Consistent definitions are crucial for standardized diagnosis and management of neonatal hypoglycemia.