Infant of the Diabetic Mother

Question 1

What is the normal blood sugar range for a term neonate?

Answer 1

2.0mmol/L and 6.5 mmol/L

Question 2

How best can we prevent neonatal hypoglycaemia?

Answer 2

feed within 30 mins of birth
prevent hypothermia
SSC
uninterrupted feeding
feeding support & education
document accurately
avoi separatinf mother & baby

Question 3

What neonates are at risk of developing hypoglyarmia?

Answer 3

infants of diabetic mother - GDM/Pre-existing DM
marcrosomic babies - >4.0kg birth weight
small for dates
premature
traumatic delivery
metabolic disorders
beta blockers –> labetalol
haemolytic disease of the newborn
idipathic/genetic casue

Question 4

what symptoms are related to hypoglycaemia?

Answer 4

lethargy/drowsiness
poor feeding/vomiting
hypothermia
grunting/tachypnoea
sweating
irritability
jittery/tremulous movements
hypotonia

Question 5

How do you sample for the procedure?

Answer 5

hold foot downwards, gently massage heel for a minute
lancet firmly in correct site
wipe away first two drops
collect the 3rd drop in the slide

Question 6

What is HH?

Answer 6

Hyperinsulinaemic

Question 7

What syndromes are associated with HH?

Answer 7

Beckwith Wiedemann
Turners
Costello
Prader-Willi
Sotos

Question 8

What impact does diabetes have on the infant?

Answer 8

Hypoglycaemia
Iatrogenic injuries
Jaudice
Macrosomia
RDS/TTN
Stillbirth

Question 9

What blood sugar level is hyperglycaemia?

Answer 9

> 6.5mmol/L