Neonatal Hypoglycemia

Introduction

You receive an urgent call to evaluate a term newborn whose mother had gestational diabetes on insulin. The baby appeared normal at birth but has become increasingly lethargic and jittery in the first few hours of life, with poor feeding reported by nursing staff.

This case challenges your ability to quickly recognize and manage a common but potentially serious metabolic complication in infants of diabetic mothers. Can you identify the underlying problem and implement appropriate treatment before neurological damage occurs?

Important Notes:

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• Each question builds on information from previous questions

• This quiz has mainly ONE right answer, in case of MULTIPLE right answers you will be notified by "Select all that apply".

• The case follows a realistic clinical progression with laboratory findings and management decisions

DISCLAIMER: We do not guarantee that the "correct answer" in a quiz is 100% correct. Never base your clinical decisions on a quiz!

Quiz Authors: Eliska Mikeskova @Eli, Victoria Payne @Vicky Payne , Katarzyna Piatek @piatkat
Expert Revision by: Stefan Johansson @Stefan Johansson and Mariana Oliveira @Mariana Oliveira

This educational quiz is based on review papers:

https://bmjmedicine.bmj.com/content/bmjmed/3/1/e000544.full.pdf

https://publications.aap.org/neoreviews/article-abstract/22/4/e230/180672/Congenital-Hyperinsulinism?redirectedFrom=fulltext