Neonates at increased risk for hypoglycemia (require glucose screening): |
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- Large for gestational age (even without maternal diabetes)
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- Cesarean delivery for fetal distress
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- Maternal preeclampsia/eclampsia or hypertension
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- Intrauterine growth restriction or small for gestational age
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- Meconium aspiration syndrome, erythroblastosis fetalis, polycythemia, hypothermia
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- Premature or postmature delivery
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- Infant of diabetic mother
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- Family history of a genetic form of hypoglycemia
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- Congenital syndromes (eg, Beckwith-Wiedemann syndrome)
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- Abnormal physical features (eg, midline facial malformations, microphallus)
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Neonates at risk for persistent hypoglycemia (require more extensive evaluation): |
- Severe hypoglycemia (eg, episode of symptomatic hypoglycemia)
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- Inability to consistently maintain preprandial plasma glucose >50 mg/dL up to 48 hours of life and >60 mg/dL after 48 hours of life
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- Family history of a genetic form of hypoglycemia
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- Congenital syndromes (eg, Beckwith-Wiedemann syndrome)
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