Metabolic disorders

We have been discussing hyperglycemia in preterm infants recently, sparkled by an actual case where we had different opinions on what to do. It resolved in an uncomplicated way (without insulin etc) but I thought it would be great to pick everyone's brain about this. When reading the literature, I feel less enlightened and more confused on a higher level... here some reading: Management (AAP Neoreviews) Systematic review on long-term outcomes Please share you management strategies in the poll above and share comments below, looking fw to discuss.

Our hospital lab has adopted TSH reflex testing in which if TSH is in acceptable range no further testing will be done. Wanted to hear thoughts from esteemed informed colleagues In pitfalls of such approach. thank you

Fellow Neos I made a new online resource called My Bili App found at www.mybili.app it includes some modern analytic tools and nice features. I am interested in getting some feedback. Thank you Ross

Please use five minutes to respond to this survey: https://survey-picterus.typeform.com/to/OtdOz9Ix Through my own engagement in various projects as social entrepreneur, I have come across several like-minded colleagues The Norwegian neonatologist Anders Aune is the founder of Picterus, a start-up in Trondheim/Norway. Pictures has invented a smartphone app that measures the degree of neonatal jaundice. The app is developed to work well in low-resource contexts where undetected neonatal jaundice is estimated to cause more than 100.000 deaths per year, plus the many thousands of infants developing permanent brain injuries due to hyperbilirubinemic encephalopathy.…

May I ask what concentration dextrose do you use in your unit (and the insulin dose) in managing hyperkalaemia, please? Is it a set concentration glucose or do you aim for 8-16mg/kg/min of glucose delivery? Sent from my iPhone using Tapatalk

How to calculate insulin glucose ratio?. Insulin reported as microIU/L and glucose as mg/dl.do u need to convert insulin to picomll/l or glucose to mol/Lt, before putting the ratio? The reference value said as<.2 normal and >.4 abnormal is without unit conversion or what? Do u take insulin levels only during hypoglycemia or induced hypoglycemia to detect hyper insulin em is.

I have seen 2 newborns recently with hyperinsulinemic hypoglycemia. Both of them settled down with diazoxide.How common is the transient form?

Dear all, I would like to know the effect of Oral Dextrose supplementation in the management of initial Asymptomatic Hypoglycemia in term babies. How much it is right to give orally? I feel that it can cause rebound Hypoglycemia...So, is that right to give oral dextrose? NB: Neonatal manual by Cloherty and some of the other articles I read, mentions oral dextrose. Thanks, Mallikarjuna

I guess many of you read about the Sugar Babies Study, about giving dextrose gel to (well) infants at risk of developing hypoglycemia. Link to the paper in Lancet: http://www.thelancet.com/journals/lancet/article/PIIS0140-6736%2813%2961645-1/abstract I would be glad to hear more from people with experience from this treatment, involved in the trial or having experience outside the trial. - is the gel produced by pharmacies "in-house" or bought from a manufacturer? - who is administrating the gel (midwife, nurse, doctor?) - dose weight-dependent (SGA vs LGA babies)? - experience regarding b-glucose and admissions to the NICU? etc...

hello to everyone >> i will write to you a story of my friends baby ,, whose i follow closly during his admition to neonatal ICU B/O nadia , male , delivered via s.section .at preterm age 34 weeks gestation ,b.wt 1.850 A.SCORE :4 8 9 . Baby delivered through meconium stained liquor . ill . o2 given via ambibag cord ABG sever metabolic acidosis .baby was drowzy weak cry , tachycardia , ivf resusc.given antibiotic started and after 2 hrs NCPAP because sat was 83 . initail diagnosis was sepsis ( possible listeriosis) ampicillin gentamicin given . inv initialy platlet40 crp positive 82mg prolonged pt and aptt platlet transfusion given , FFP given a…