Table 3.

Glucose monitoring for neonates at risk for HY.

Type of HY	Onset	Duration	HY degree	Response to glucose	Duration of monitoring	Examples
Early transitional adaptive	<6–12 h	12–24h	Mild	Good	24–48 h	Preterm infants, infant of diabetic mother, intrapartum glucose infusion, hypothermia
Secondary	12–24 h	24–48 h	Mild	Good	24–48 h	Asphyxia, sepsis, intraventricular bleeding
Classic transient neonatal	24–48 h	48–72 h or more	Moderate to severe.	Requires often higher glucose infusion rate	48–72 h	Small for gestation
			About 80% are symptomatic
Severe recurrent	Variable	>7 d	Severe	Requires higher glucose infusion rates >10–12	May be days to weeks	Congenital hyperinsulinism, metabolic and endocrine forms

Modified from Kallem et al. (18).