Blood glucose levels within 7 days after birth in preterm infants according to gestational age
Annals of Pediatric Endocrinology & Metabolism
;
: 213-219, 2015.
Article
in English
| WPRIM
| ID: wpr-96138
ABSTRACT
PURPOSE:
This study investigated blood glucose levels in preterm babies according to gestational age (GA).METHODS:
Subjects were 141 preterm infants with a GA180 mg/dL.RESULTS:
During the 7 days after birth, hypo- and hyperglycemia occurred in 29 (29 of 141, 20.6%) and 42 (42 of 141, 29.8%) neonates, respectively. During the first 2 hours, 18 neonates (12.8%) exhibited hypoglycemia, and only 2 (2 of 141, 1.4%) developed hyperglycemia. From 6 to 24 hours, hypo- and hyperglycemia were observed in 0 and 9 (9 of 141, 6.4%) neonates, respectively. Infants small for their GA (SGA) were at risk for hypoglycemia both within 24 hours (odds ratio [OR], 2.718; P=0.045) and during days 2 to 7 (OR, 4.454; P=0.006), and hyperglycemia during days 2 to 7 (OR, 3.200; P=0.005). Low 1-minite Apgar score was risk factor for both hypo- and hyperglycemia during days 2 to 7 (OR, 0.756; P=0.035 for hypoglycemia and OR, 0.789; P=0.016 for hyperglycemia). Both hypo- and hyperglycemia within 24 hours were less common in those who started feeding (OR, 0.294; P=0.013 for hypoglycemia and OR, 0.162; P=0.011 for hyperglycemia).CONCLUSION:
Careful blood glucose level monitoring is required in preterm infants, especially SGA infants or those with low Apgar score. Early feeding could be beneficial for maintaining euglycemia.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Apgar Score
/
Birth Weight
/
Blood Glucose
/
Body Weight
/
Infant, Premature
/
Risk Factors
/
Gestational Age
/
Parturition
/
Glucose
/
Hyperglycemia
Type of study:
Etiology study
/
Risk factors
Limits:
Humans
/
Infant
/
Infant, Newborn
Language:
English
Journal:
Annals of Pediatric Endocrinology & Metabolism
Year:
2015
Type:
Article
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