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Neonatal Hypoglycemia
Neonatal hypoglycemia refers to low blood sugar levels in newborns, a condition that can occur within the first few days of life.It is most commonly seen in infants born to mothers with diabetes, preterm infants, or those with intrauterine growth restriction. The developing brain is highly sensitive to glucose levels, making neonatal hypoglycemia a concern due to its potential impact on neurological development. Symptoms of neonatal hypoglycemia may include jitteriness, poor feeding, lethargy, and, in severe cases, seizures. Early identification and monitoring of at-risk infants are crucial to prevent long-term complications associated with low blood sugar levels. Interventions often involve adjusting feeding practices, such as more frequent breastfeeding or formula supplementation, to maintain optimal glucose levels.Point-of-care glucose monitoring and laboratory tests are used to assess and manage neonatal hypoglycemia. Timely and appropriate treatment is essential to prevent complications, as persistent low blood sugar levels can lead to neurological deficits.Neonates born to mothers with gestational diabetes may be closely monitored, as they are at an increased risk of hypoglycemia. The management of neonatal hypoglycemia requires a multidisciplinary approach involving neonatologists, pediatricians, and nursing staff to ensure optimal care and neurodevelopmental outcomes.
About the Speaker
Dr Subrata Dey
Senior Pediatric Endocrinologist at Apollo Gleneagles Hospital, Kolkata
Upcoming Case Discussions
H. pylori Treatment with PYELRA®: Best Practices
PYLERA® is a medication used for the treatment of Helicobacter pylori (H. pylori) infection, a common cause of stomach ulcers and gastritis. It contains a combination of three active ingredients: bismuth subcitrate potassium, metronidazole, and tetracycline. This combination works synergistically to eradicate H. pylori bacteria and reduce associated symptoms. Treatment with PYLERA® typically involves taking multiple capsules four times a day for a specified duration, as prescribed by a healthcare provider. It is important to follow the treatment regimen as directed and to discuss potential side effects
Fluid Management and Hemodynamic Optimization
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Management of Pulmonary Fibrosis
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Ulcerative colitis: Diagnosis & Management
Ulcerative colitis is diagnosed through a combination of clinical evaluation, laboratory tests, imaging studies, and endoscopic examination of the colon. Key diagnostic tests include stool studies to rule out infections, blood tests for inflammatory markers like C-reactive protein and fecal calprotectin, and colonoscopy with biopsy to visualize the colon and confirm the diagnosis. Imaging studies like CT scans or MRI may be used to assess disease severity and complications such as toxic megacolon or perforation. Management of ulcerative colitis involves a step-wise approach, starting with anti-inflammatory medications like aminosalicylates for mild to moderate disease.Immunosuppressants such as corticosteroids, thiopurines, or biologics (e.g., anti-TNF agents) are used for moderate to severe disease or if patients do not respond to first-line therapy. Regular monitoring of disease activity through symptom assessment, blood tests, and endoscopic evaluation is crucial for disease management and to prevent complications.
Postpartum Haemorrhage (PPH)
Postpartum hemorrhage (PPH) is a significant complication following childbirth, characterized by excessive bleeding within 24 hours of delivery. It's a leading cause of maternal mortality globally. PPH can occur due to various factors, including uterine atony (failure of the uterus to contract), trauma during childbirth, retained placental tissue, or coagulation disorders. Prompt recognition and intervention are crucial to prevent severe consequences. Management typically involve uterine massage, administration of uterotonic medications, uterine artery embolization, or, in severe cases, surgical interventions like hysterectomy. Timely and effective management strategies are essential to reduce maternal morbidity and mortality associated with PPH.
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