Zeller J, Bougnères P
INSERM, Nantes.
Rev Prat. 1996 Mar 1;46(5):556-9.
Neonatal hyperglycaemia may be permanent or, more often, transient. Transient hyperglycaemia occurs mainly in premature and low-birth-weight neonates, especially if they are stressed or receive endovenous glucose. There is no clinical or biological sign allowing to predict these children future at the time of diagnosis, even if the seriousness of hyperglycemia, the collapse of insulin secretion, and the association to complex pathologies is more usual in permanent diabetes. This explains why the treatment must be the same, namely precocious insulin therapy.
新生儿高血糖可能是永久性的，或者更常见的是短暂性的。短暂性高血糖主要发生在早产儿和低体重儿中，特别是当他们处于应激状态或接受静脉输注葡萄糖时。即使永久性糖尿病中高血糖的严重程度、胰岛素分泌的衰竭以及与复杂病理情况的关联更为常见，但在诊断时没有临床或生物学迹象能够预测这些儿童的未来情况。这就解释了为什么治疗方法必须相同，即早期胰岛素治疗。
