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Why Is An Infant Born To A Diabetic Mother At Risk For Hypoglycemia?

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Management Of Infants Of Diabetic Mothers

Objective To describe the clinical outcome of infants born to mothers with gestational diabetes mellitus (GDM) and preexisting insulin-dependent diabetes mellitus (IDDM). Setting A tertiary care regional perinatal center with a specialized diabetes-in-pregnancy program. Design Case series. Results Five hundred thirty infants were born to 332 women with GDM and 177 women with IDDM. Thirty-six percent of these 530 newborns were large for gestational age, 62% were appropriate for gestational age, and only 2% were small for gestational age. Seventy-six (14%) of all infants were born before 34 weeks' gestation, 115 (22%) between 34 and 37 weeks of gestation, and 339 (64%) at term. Two hundred thirty-three infants (47%) were admitted to the neonatal intensive care unit due to respiratory distress syndrome (RDS), prematurity, hypoglycemia, or congenital malformation. Hypoglycemia (more common among infants of maternal diabetic classes C through D-R) was documented in 137 (27%) of all newborns. One hundred eighty-two infants (34%) had RDS of varying severity. Polycythemia (5% of infants), hyperbilirubinemia (25%), and hypocalcemia (4%) were other morbidities present. Two hundred forty-four Continue reading >>

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Popular Questions

  1. isiscrystal

    Have you guys noticed that when diabetes is portrayed in movies, more often than not there is some element of the portrayal that is complete Hollywood fiction? I wish I could think of some examples off the top of my head, but alas, I can't...
    Anyhoo, it drives me crazy. No wonder so many people have misconceptions about diabetes.

  2. karena

    Hmmm, well when I go to a movie I am not going to get educated but to be entertained.

  3. Bountyman

    Movies are written to do two things...one, make money...and two, make money. Expecting them to have any type of accuracy probably borders on the naive. If they're driving you crazy...stop that!

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