AIMS To study early neonatal metabolic adaptation in a hospital population of neonates in Nepal. METHODS A cross sectional study was made of 578 neonates, 0 to 48 hours after birth, in the main maternity hospital in Kathmandu. The following clinical and nutritional variables were assessed: concentrations and age profiles of blood glucose, hydroxybutyrate, lactate, pyruvate, free fatty acids (...

It is now established that the dysmature infant, of low birthweight for the period of gestation, may develop a diabetic state in the neonatal period (Arey, 1953; Engleson and Zetterqvist, 1957; Hutchison, Keay, and Kerr, 1962). This condition, which is temporary and has a good prognosis, has to be distinguished from other causes of hyperglycaemia. Permanent diabetes mellitus occurs rarely in th...

A 12-year retrospective study to elucidate the incidence of "fifth day fits" including 127 infants with neonatal convulsions was carried out in the Randers area of Denmark. The incidence of neonatal convulsions was 8.3/1,000 live-born infants. The etiology in 74 cases of latent and 53 cases of convulsive seizures was asphyxia (38%), intracranial hemorrhage (17%), hypoglycaemia (9%), hypocalcaem...

Diabetes is the most common medical complication of pregnancy (3 to 5% of all pregnancies). The aim of the present study was to evaluate maternal and fetal risks associated with gestational diabetes mellitus, so that we can reduce those risks by early diagnosis and active intervention. This was a retrospective case control study conducted in the Department of Gynecology and Obstetrics, Medical ...

 Abstract Background: Hypoglycaemia is a well recognized complication of falciparum malaria in children but its diagnosis may be overlooked because all the clinical features may be mimicked by severe malaria. To determine the prevalence of hypoglycaemia at the point of hospital admission of under-fives with falciparum malaria and identify its risk factors in patients seen in a Nigerian...