مولود لأم سكري وزنه ٤٫٦ كغ، بعد ساعة من الولادة فيه رعشة وسكره ٣٠ ملغ/دل. ما الإجراء الصحيح؟

A 4.6-kg infant of a diabetic mother is jittery 1 hour after birth with a glucose of 30 mg/dL. What is the correct action?

1. Place under the radiant warmer only, nothing else
2. Recheck glucose in 4 hours and observe
3. Feed or give glucose gel now; recheck in 30 minutes
4. Give a small dose of subcutaneous insulin

Answer: C) Feed or give glucose gel now; recheck in 30 minutes. The main early risk for an infant of a diabetic mother is hypoglycaemia from neonatal hyperinsulinism: treat now with feeding or glucose, then recheck.