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Canadian Medical Association Journal logoLink to Canadian Medical Association Journal
. 1965 Apr 17;92(16):861–865.

The Neurological and Developmental Effects of Neonatal Hypoglycemia

A Follow-up of 22 Cases

J C Haworth, K N McRae
PMCID: PMC1928006  PMID: 14282940

Abstract

Twenty-two infants in whom hypoglycemia (blood sugar less than 20 mg./100 ml.) was noted during the first few days of life were followed up when eight to 30 months of age. In eight such symptoms as muscular tremors, cyanosis, apneic spells and convulsions were associated with the hypoglycemia; five of these had abnormal central nervous system signs and retarded development. One other had possible impairment of development and another had a recurrence of hypoglycemia after having been well for four years. Fourteen of the 22 infants had no symptoms associated with the hypoglycemia, and on follow-up only two of these showed possible impairment. The rest were normal.

This preliminary study suggests that hypoglycemia associated with neurological symptoms in the newborn period carries a poor prognosis with respect to permanent neurological damage. Asymptomatic hypoglycemia may have a relatively good prognosis.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BAENS G. S., LUNDEEN E., CORNBLATH M., MORRISON M., HARR C. Studies of carbohydrate metabolism in the newborn infant. VI. Levels of glucose in blood in premature infants. Pediatrics. 1963 Apr;31:580–589. [PubMed] [Google Scholar]
  2. BROWN R. J., WALLIS P. G. Hypoglycaemia in the newborn infant. Lancet. 1963 Jun 15;1(7294):1278–1282. doi: 10.1016/s0140-6736(63)91981-0. [DOI] [PubMed] [Google Scholar]
  3. CONN J. W., SELTZER H. S. Spontaneous hypoglycemia. Am J Med. 1955 Sep;19(3):460–478. doi: 10.1016/0002-9343(55)90130-3. [DOI] [PubMed] [Google Scholar]
  4. CORNBLATH M., ODELL G. B., LEVIN E. Y. Symptomatic neonatal hypoglycemia associated with toxemia of pregnancy. J Pediatr. 1959 Nov;55:545–562. doi: 10.1016/s0022-3476(59)80239-0. [DOI] [PubMed] [Google Scholar]
  5. CORNBLATH M., WYBREGT S. H., BAENS G. S., KLEIN R. I. SYMPTOMATIC NEONATAL HYPOGLYCEMIA. STUDIES OF CARBOHYDRATE METABOLISM IN THE NEWBORN INFANT. VIII. Pediatrics. 1964 Mar;33:388–402. [PubMed] [Google Scholar]
  6. FARQUHAR J. W. The significance of hypoglycaemia in the newborn infant of the diabetic woman. Arch Dis Child. 1956 Jun;31(157):203–211. doi: 10.1136/adc.31.157.203. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. HAWORTH J. C., COODIN F. J., FINKEL K. C., WEIDMAN M. L. Hypoglycemia associated with symptoms in the newborn period. Can Med Assoc J. 1963 Jan 5;88:23–28. [PMC free article] [PubMed] [Google Scholar]
  8. HAWORTH J. C., COODIN F. J. Idiopathic spontaneous hypoglycemia in children. Report of seven cases and review of the literature. Pediatrics. 1960 May;25:748–765. [PubMed] [Google Scholar]
  9. HEBERDEN P., FRIEDLANDER F. Hypoglycaemic coma. Arch Dis Child. 1955 Aug;30(152):372–376. doi: 10.1136/adc.30.152.372. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. HUGGETT A. S., NIXON D. A. Use of glucose oxidase, peroxidase, and O-dianisidine in determination of blood and urinary glucose. Lancet. 1957 Aug 24;273(6991):368–370. doi: 10.1016/s0140-6736(57)92595-3. [DOI] [PubMed] [Google Scholar]
  11. KNOBLOCH H., PASAMANICK B. Syndrome of minimal cerebral damage in infancy. J Am Med Assoc. 1959 Jul 18;170(12):1384–1387. doi: 10.1001/jama.1959.03010120020006. [DOI] [PubMed] [Google Scholar]
  12. KOMROWER G. M. Blood sugar levels in babies born of diabetic mothers. Arch Dis Child. 1954 Feb;29(143):28–33. doi: 10.1136/adc.29.143.28. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. King E. J., Garner R. J. The Colorimetric Determination of Glucose. J Clin Pathol. 1947 Nov;1(1):30–33. doi: 10.1136/jcp.1.1.30. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. LOWREY G. H., GRAHAM B. D., TSAO M. U. Chemical homeostasis in the newborn infants of diabetic mothers. Pediatrics. 1954 Jun;13(6):527–535. [PubMed] [Google Scholar]
  15. NELIGAN G. A., ROBSON E., WATSON J. Hypoglycaemia in the newborn. A sequel of intrauterine malnutrition. Lancet. 1963 Jun 15;1(7294):1282–1284. doi: 10.1016/s0140-6736(63)91982-2. [DOI] [PubMed] [Google Scholar]
  16. NORVAL M. A. Blood sugar values in premature infants. J Pediatr. 1950 Feb;36(2):177–184. doi: 10.1016/s0022-3476(50)80203-2. [DOI] [PubMed] [Google Scholar]
  17. WACHTER H. E. Hypoglycemia of the newborn infant. Mo Med. 1949 Dec;46(12):837–842. [PubMed] [Google Scholar]

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