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Hyperinsulinism in asphyxiated and small-for-dates infants with hypoglycaemia
Lancet (London, England)
|August 11, 1984
Summary
Hypoglycaemia in newborns is often due to low glycogen. However, this study found hyperinsulinism contributes to low blood sugar in birth-asphyxiated and small-for-dates infants.
Area of Science:
- Neonatal Medicine
- Endocrinology
- Pediatrics
Background:
- Hypoglycaemia is a common neonatal issue.
- Glycogen depletion is the traditionally accepted cause of neonatal hypoglycaemia.
Observation:
- Six infants (3 birth-asphyxiated, 3 small-for-dates) presented with hypoglycaemia.
- These infants exhibited clear signs of hyperinsulinism.
Findings:
- Hyperinsulinism was identified as a significant factor in neonatal hypoglycaemia.
- This challenges the sole reliance on glycogen depletion as the cause.
Implications:
- Suggests a need to investigate hyperinsulinism in affected neonates.
- May lead to revised diagnostic and treatment strategies for neonatal hypoglycaemia.
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