pediatrics
Neonatal Hyperglycemia
Introduction
Hyperglycemia is a serum glucose concentration>150 mg/dL (>8.3 mmol/L). Diagnosis is with serum glucose testing. Treatment is reduction of the IVdextroseconcentration or of the infusion rate, or IVinsulin. Themost common causeof neonatal hyperglycemia is Iatrogenic Iatrogenic causes usually involve too-rapid IV infusions ofdextroseduring the first few days of life in very low-birth-weight infants (<1.5 kg). The other important cause is physiologic stress caused by surgery, hypoxia, Respiratory Distress Syndrome in Neonates , or 