Mittal Aliza, Gupta Ratan, Sharma Shobha, Aggarwal Kailash Chandra
Department of Pediatrics, VMMC and Safdarjung Hospital, New Delhi, India.
J Clin Neonatol. 2013 Oct;2(4):190-2. doi: 10.4103/2249-4847.123101.
Stress/sepsis induced transient hyperglycemia in the newborn may present with extremely high blood sugar values and may mimic neonatal diabetes mellitus. We present a case of neonatal septicemia with stress induced hyperglycemia mimicking neonatal diabetes mellitus. Extremely high blood sugar values upto 1529 mg/dl with metabolic acidosis were noted in a term good weight baby causing a diagnostic dilemma. It can be seen even in term babies, contrary to the belief that it occurs in preterm and small for gestation babies. Considering the prognostic implications it may cause it is important that hyperglycemia is promptly treated by insulin infusion.
应激/脓毒症诱发的新生儿短暂性高血糖可能表现为血糖值极高，且可能类似新生儿糖尿病。我们报告一例新生儿败血症伴应激性高血糖，酷似新生儿糖尿病。在一名足月正常体重儿中发现血糖值极高，高达1529毫克/分升，并伴有代谢性酸中毒，这造成了诊断上的两难。即使在足月儿中也可出现这种情况，与认为其发生在早产儿和小于胎龄儿的观点相反。鉴于其可能带来的预后影响，通过胰岛素输注及时治疗高血糖很重要。
