Hypoglycemia in a Newborn Baby
What is hypoglycemia in a newborn baby?
Hypoglycemia is when the level of sugar (glucose) in the blood is too low. Glucose
is the main source of fuel for the brain and the body. In a newborn baby, low blood
sugar can happen for many reasons. It can cause problems such as shakiness, a blue
color to the skin, and breathing and feeding problems.
What causes hypoglycemia in a newborn baby?
Hypoglycemia can be caused by conditions such as:
Fetal growth restriction (slow growth prior to birth) or small size for gestational
age at birth
Baby making more insulin than they need because birth parent has diabetes, especially
if diabetes is not well controlled
More insulin in the baby's blood for other reasons, such as large size for gestational
age, genetic syndromes, or a tumor of the pancreas
Congenital metabolic diseases or hormone deficiencies. Some of these run in families.
Not enough oxygen at birth (birth asphyxia)
Incompatible blood types of birth parent and baby (severe hemolytic disease of the
Which newborns are at risk for hypoglycemia?
Babies who are more likely to have hypoglycemia include those who are:
Born to birth parents with diabetes
Small for gestational age or growth-restricted
Preterm babies, especially those with low birth weights
Born under significant stress
Born to birth parents treated with certain medicines such as terbutaline or steroids
Large for their gestational age
What are the symptoms of hypoglycemia in a newborn baby?
Signs of low blood sugar may not be easy to see in newborn babies. The most common
Blue color of skin and lips (cyanosis) or skin looks pale
Stopping breathing (apnea) or fast breathing a grunting
Low body temperature (hypothermia)
Floppy muscles (poor muscle tone)
Not seeming interested in feeding or unable to feed
Lack of movement and energy (lethargy)
Weak or high-pitched cry
The signs of hypoglycemia can seem like other health conditions. Make sure your child
sees their healthcare provider for a diagnosis.
How is hypoglycemia in a newborn baby diagnosed?
A simple blood test for blood glucose levels can diagnose the problem. The baby's
blood level will be compared to an expected range for their age.
How is hypoglycemia in a newborn baby treated?
Treatment will depend on your baby's gestational age and overall health. Treatment
includes giving the baby a fast-acting source of glucose. This may be as simple as
a glucose and water mixture, breastmilk, or formula as an early feeding. Or your baby
may need glucose given through an IV (intravenous) line. The baby's blood glucose
levels are checked after treatment to see if the hypoglycemia occurs again.
What are possible complications of hypoglycemia in a newborn baby?
The brain needs blood glucose to function. Not enough glucose can harm the brain's
ability to function. Severe or long-lasting hypoglycemia may cause seizures and serious
What can I do to prevent hypoglycemia in my newborn baby?
In many cases, there may not be a way to prevent hypoglycemia in a newborn baby. For
a baby with risk factors, healthcare providers will need to watch carefully for the
signs and start treatment as soon as possible. Birth parents with diabetes should
keep their blood glucose levels in a normal range during pregnancy. This may help
lower the risk for their baby. If you have trouble managing your diabetes, ask your
healthcare provider for help and support.
When should I call my child's healthcare provider?
Call your baby’s healthcare provider right away or get immediate medical care if you
see signs of low blood sugar in your baby. Feed your baby and give supplemental formula
or a glucose and water mixture if advised.
Key points about hypoglycemia in a newborn baby
Hypoglycemia is a condition that occurs when the level of glucose in the blood is
lower than normal.
A baby is at risk if they have a birth parent with diabetes, are preterm, or are smaller
or larger than expected for their gestational age.
If your baby has signs of hypoglycemia, feed them. Give supplemental formula or a
glucose and water mixture if advised.
Tips to help you get the most from a visit to your child’s healthcare provider:
Know the reason for the visit and what you want to happen.
Before your visit, write down questions you want answered.
At the visit, write down the name of a new diagnosis and any new medicines, treatments,
or tests. Also write down any new instructions your provider gives you for your child.
Know why a new medicine or treatment is prescribed and how it will help your child.
Also know what the side effects are.
Ask if your child’s condition can be treated in other ways.
Know why a test or procedure is recommended and what the results could mean.
Know what to expect if your child does not take the medicine or have the test or procedure.
If your child has a follow-up appointment, write down the date, time, and purpose
for that visit.
Know how you can contact your child’s provider after office hours. This is important
if your child becomes ill and you have questions or need advice.