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      Hypoglycemia in Infants and Effect on Neurodevelopment

      article-commentary
      , MD 1 , 2 , , MD, PhD 1 , 2 , *
      Pediatric Neurology Briefs
      Pediatric Neurology Briefs Publishers
      Hypoglycemia, Child Development, Blood Glucose, Infant, Newborn

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          Abstract

          In a prospective, randomized treatment trial, investigators from multiple institutions in the HypoEXIT Study Group investigated the developmental outcomes after neonatal hypoglycemia, comparing the traditional glucose threshold 47 mg/dL vs. 36 mg/dL.

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          Most cited references7

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          Postnatal glucose homeostasis in late-preterm and term infants.

          , David Adamkin (2011)
          This report provides a practical guide and algorithm for the screening and subsequent management of neonatal hypoglycemia. Current evidence does not support a specific concentration of glucose that can discriminate normal from abnormal or can potentially result in acute or chronic irreversible neurologic damage. Early identification of the at-risk infant and institution of prophylactic measures to prevent neonatal hypoglycemia are recommended as a pragmatic approach despite the absence of a consistent definition of hypoglycemia in the literature.
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            Association of Neonatal Glycemia With Neurodevelopmental Outcomes at 4.5 Years

            Hypoglycemia is common during neonatal transition and may cause permanent neurological impairment, but optimal intervention thresholds are unknown.
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              • Record: found
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              • Article: not found

              Neonatal Glycemia and Neurodevelopmental Outcomes at 2 Years.

              Neonatal hypoglycemia is common and can cause neurologic impairment, but evidence supporting thresholds for intervention is limited.
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                Author and article information

                Journal
                Pediatr Neurol Briefs
                Pediatr Neurol Briefs
                1043-3155
                pedneurbriefs
                Pediatr Neurol Briefs
                Pediatric Neurology Briefs
                Pediatric Neurology Briefs Publishers (Chicago, IL, USA )
                1043-3155
                2166-6482
                18 December 2020
                2020
                : 34
                : 18
                Affiliations
                [1 ]Division of Neurology, Ann & Robert H. Lurie Children's Hospital of Chicago, Chicago, IL
                [2 ]Departments of Pediatrics and Neurology, Northwestern University Feinberg School of Medicine, Chicago, IL
                Author notes
                [* ]Correspondence: Dr. Tracy S. Gertler, E-mail: tgertler@ 123456luriechildrens.org
                Article
                PNB-34-18
                10.15844/pedneurbriefs-34-18
                7747512
                d5001195-3000-4b63-81dd-f4eae888eb8b
                Copyright: © 2020 The Author(s)

                This work is licensed under the Creative Commons Attribution 4.0 International License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : 20 March 2020
                : 05 December 2020
                Categories
                Neonatal Disorders
                Neurology
                Pediatrics
                Nervous System Diseases
                Child Development
                Brain Diseases
                Neurosurgery
                Child
                Infant

                hypoglycemia,child development,blood glucose,infant,newborn
                hypoglycemia, child development, blood glucose, infant, newborn

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