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Arch Dis Child Fetal Neonatal Ed 1998;79:F174-F179 ( November )

Long term neurological dysfunction and neonatal hypoglycaemia after diabetic pregnancy

E Stenninger,a R Flink,b B Eriksson,c C Sahlèna

a Department of Paediatrics Örebro Medical Centre Hospital 701 85 Örebro, Sweden, b Department of Neurophysiology Uppsala University Hospital, c Children's Habilitation Centre, Örebro Sweden

Correspondence to: Dr Erik Stenninger.


Accepted 1 April 1998

AIM---To determine if children born to mothers with diabetes mellitus during pregnancy, who subsequently developed neonatal hypoglycaemia, experienced long term neurological dysfunction.
METHODS---Thirteen children with, and 15 without, neonatal hypoglycaemia (blood glucose < 1.5 mmol/l) were randomly selected from a larger cohort and investigated at the age of 8 years. They were also compared with 28 age matched healthy controls.
RESULTS---Children with neonatal hypoglycaemia had significantly more difficulties in a validated screening test for minimal brain dysfunction than controls and were also more often reported to be hyperactive, impulsive, and easily distracted. On psychological assessment, they had a lower total development score than normoglycaemic children born to diabetic mothers, and control children.
CONCLUSIONS---Neonatal hypoglycaemia in diabetic pregnancy was associated with long term neurological dysfunction related to minimal brain dysfunction/deficits in attention, motor control, and perception.

Keywords: hypoglycaemia; diabetic pregnancy; neurological development


© 1998 by Archives of Disease in Childhood



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C. M. Burns, M. A. Rutherford, J. P. Boardman, and F. M. Cowan
Patterns of Cerebral Injury and Neurodevelopmental Outcomes After Symptomatic Neonatal Hypoglycemia
Pediatrics, July 1, 2008; 122(1): 65 - 74.
[Abstract] [Full Text] [PDF]




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