Marilyn Kleidon wrote:
Thanks Tina: you've actually posted
that before 'cause I had copied it and pasted it into my breastfeeding
research file!! Found it when I went to copy it again!! I have read the
whole thing a few times now and am somewhat reassured that the baby I
referred to with a BSL of 0.6 mmol/L may have had a good
counterregulatory response going on since he only had "soft" signs of
hypoglycemia: some jitteryness and slightly increased irritability.
Still unsure of why his BSL would be so low (even supposing mum had
zero colostrum) as his intrapartum stress could not be interpreted as
intrapartum asphyxia in any way. I now have a high index of suspicion
that mum may have actually been gestationally diabetic despite her
reassuring/non-glucose impaired GTT. In which case it would be a
transient hypoglycemia and the lab results should show
hyperinsulinemia right? I hope so. I have been off since so i don't
know if the hypoglycemia recurred which would be the case if baby had
some rare metabolic disorder right? Sorry, thinking zebras now (instead
of horses, when I hear galloping).
regards
marilyn
Just thinking about this... this baby was born into Mec, right? Was it
policy to do a gastric lavage pre- first feed? If so, this could be
why the BSL was so low...
Jo.
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