Hyperglycemia is a common clinical condition in extreme preterm and low birth weight (ELBW) infants. Nevertheless, management of severe hyperglycemia is challenging. Patient case A 24+6 weeks female with birth weight of 620 g was born to a primi mother who conceived by in vitro fertilization. Her birth was a result of premature rupture of membrane. She had a normal vaginal delivery. The mother received 2 doses of betamethasone. She was neither diabetic nor had any other risk factors.
The baby was given resuscitation with bag and mask ventilation and chest compression. The Apgar score was 0 at 1 min, 4 at 5 min and 8 at 10 min. Later, she was intubated with mechanical ventilator. She was given surfactant due to respiratory distress syndrome. On the 3 rd day of life, the baby developed hyperglycemia . Her blood sugar levels (BSL) were above 300 mg/dl . Eventually, she was given two…
