Risk factors for neonatal hypoglycemia

Risk factors warranting routine blood glucose screening

Prematurity (gestational age <37 weeks)
Small or large for gestational age
Birthing parent with diabetes mellitus (gestational or preexisting)

Other risk factors^*

Low birth weight (<2500 grams)
Fetal growth restriction
Perinatal stress
Postmaturity (gestational age >42 weeks)
Admission to a neonatal intensive care unit
In utero exposure to beta adrenergic agents
In utero exposure to oral glucose-lowering medications
Family history of a genetic form of hypoglycemia
Congenital syndromes associated with hypoglycemia (eg, Beckwith-Wiedemann and Kabuki syndromes)

This table summarizes risk factors for neonatal hypoglycemia. For additional details, refer to separate UpToDate content on neonatal hypoglycemia.

* Screening in neonates with these risk factors is dependent on the clinical status of the infant. In general, infants who are less clinically stable are screened more often than those who are more clinically stable.

Graphic 126505 Version 4.0

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Risk factors for neonatal hypoglycemia