DOCSLIB.ORG

Hypoglycemia

Total Page：16

File Type：pdf, Size：1020Kb

Download full-text PDF Read full-text
Hypoglycemia 48 Monte Carlo Crescent Kyalami Business Park Kyalami, Johannesburg, 1684, RSA Tel: +27 (0)11 463 3260 Fax: + 27 (0)86 557 2232 Email: [email protected] www.thistle.co.za The HPCSA and the Med Tech Society have confirmed that this clinical case study, plus your routine review of your EQA reports from Thistle QA, should be documented as a “Journal Club” activity. This means that you must record those attending for CEU purposes. Thistle will not issue a certificate to cover these activities, nor send out “correct” answers to the CEU questions at the end of this case study. The Thistle QA CEU No is: MTS 18/062 Each attendee should claim ONE CEU point for completing this Quality Control Journal Club exercise, and retain a copy of the relevant Thistle QA Participation Certificate as proof of registration on a Thistle QA EQA. CHEMISTRY LEGEND September 2018 Hypoglycemia Hypoglycemia, also known as low blood sugar, is when blood sugar decreases to below normal levels. Normal blood sugar levels are Between 4.0 to 5.4 mmol/L (72 to 99 mg/dL) when fasting. Up to 7.8 mmol/L (140 mg/dL) 2 hours after eating. The glucose level that defines hypoglycemia is variable. In people with diabetes, levels below 3.9 mmol/L (70 mg/dL) is diagnostic. In adults without diabetes, levels below 2.8 mmol/L (50 mg/dL) after not eating or following exercise may be used. In newborns, a level below 2.2 mmol/L (40 mg/dL), or less than 3.3 mmol/L (60 mg/dL) if symptoms are present, indicates hypoglycemia. Signs and symptoms There is no consistent order to the appearance of the symptoms, if symptoms even occur. Specific manifestations may also vary by age, by severity of the hypoglycemia and the speed of the decline. In young children, vomiting can sometimes accompany morning hypoglycemia with ketosis. In older children and adults, moderately severe hypoglycemia can resemble mania, mental illness, drug intoxication, or drunkenness. In the elderly, hypoglycemia can produce focal stroke-like effects or a hard-to-define malaise. The symptoms of a single person may be similar from episode to episode, but are not necessarily so and may be influenced by the speed at which glucose levels are dropping, as well as previous incidents Other symptoms of hypoglycemia may include: Shakiness, anxiety, nervousness Palpitations, tachycardia Sweating, feeling of warmth (sympathetic muscarinic rather than adrenergic) Pallor, coldness, clamminess Dilated pupils (mydriasis) Page 1 of 4 48 Monte Carlo Crescent Kyalami Business Park Kyalami, Johannesburg, 1684, RSA Tel: +27 (0)11 463 3260 Fax: + 27 (0)86 557 2232 Email: [email protected] www.thistle.co.za Hunger, borborygmus Nausea, vomiting, abdominal discomfort Headache Causes Hypoglycemia is either reactive or non-reactive. Each type has different causes: a. Reactive hypoglycemia Reactive hypoglycemia occurs within a few hours after a meal. An overproduction of insulin causes reactive hypoglycemia. Having reactive hypoglycemia may mean that you’re at risk for developing diabetes. b. Non-reactive hypoglycemia Non-reactive hypoglycemia isn't necessarily related to meals and may be due to an underlying disease. Causes of non-reactive, or fasting, hypoglycemia can include: some medications, like those used in adults and children with kidney failure excess amounts of alcohol, which can stop your liver from producing glucose any disorder that affects the liver, heart, or kidneys some eating disorders, such as anorexia pregnancy Diagnosis If you use insulin or another diabetes medication known to lower blood sugar, and you have signs and symptoms of hypoglycemia, test your blood sugar levels with a blood glucose meter. If the result shows low blood sugar (under 70 mg/dL), treat accordingly. If you don’t have diabetes but suspect you have hypoglycemia, talk to your doctor about your symptoms. They will perform a physical examination. They will use three criteria, sometimes referred to as “Whipple’s triad,” to diagnose low blood sugar. These include: Signs and symptoms of low blood sugar: Your doctor may ask you to take a fasting test. This test can last as long as 72 hours. During the test, you’ll have your blood drawn at different times to measure your blood glucose level. The results are usually available within a day or two. If your Page 2 of 4 48 Monte Carlo Crescent Kyalami Business Park Kyalami, Johannesburg, 1684, RSA Tel: +27 (0)11 463 3260 Fax: + 27 (0)86 557 2232 Email: [email protected] www.thistle.co.za blood sugar level is lower than 50 to 70 milligrams per deciliter, you may have hypoglycemia. That number can vary from one person to another. Some people's bodies naturally have lower blood sugar levels. Your doctor will diagnose you based on your blood sugar levels. Documentation of low blood sugar when your signs and symptoms occur: Your doctor will perfom a blood test to analyze your blood sugar levels in a laboratory. Disappearance of the signs and symptoms of low blood sugar: Your doctor will want to know whether the signs and symptoms go away when your blood sugar levels are raised. Another test is a mixed-meal tolerance test. This test is for people experiencing hypoglycemia after eating and helps measure how much insulin your pancreas can make in response to food. Prevention The most effective means of preventing further episodes of hypoglycemia depends on the cause. The risk of further episodes of diabetic hypoglycemia can often (but not always) be reduced by lowering the dose of insulin or other medications, or by more meticulous attention to blood sugar balance during unusual hours, higher levels of exercise, or decreasing alcohol intake. Episodes of hypoglycemia can also be resolved by Simple changes to your diet and eating schedule which can also prevent future episodes. Treatment Treatment of some forms of hypoglycemia, such as in diabetes, involves immediately raising the blood sugar to normal through the ingestion of carbohydrates, determining the cause, and taking measures to hopefully prevent future episodes. Blood glucose can be raised to normal within minutes by taking (or receiving) 10–20 grams of carbohydrate. It can be taken as food or drink if the person is conscious and able to swallow. If a person is suffering such severe effects of hypoglycemia that they cannot (due to combativeness) or should not (due to seizures or unconsciousness) be given anything by mouth, medical personnel such as paramedics, or in-hospital personnel can establish IV access and give intravenous dextrose, concentrations varying depending on age (infants are given 2 ml/kg dextrose 10%, children are given dextrose 25%, and adults are given dextrose 50%). Care must be taken in giving these solutions because they can cause skin necrosis if the IV is infiltrated, sclerosis of veins, and many other fluid and electrolyte disturbances if administered incorrectly. If IV access cannot be established, the patient can be given 1 to 2 milligrams of glucagon in an intramuscular injection. Page 3 of 4 48 Monte Carlo Crescent Kyalami Business Park Kyalami, Johannesburg, 1684, RSA Tel: +27 (0)11 463 3260 Fax: + 27 (0)86 557 2232 Email: [email protected] www.thistle.co.za References 1. https://en.wikipedia.org/wiki/Hypoglycemia. 2. https://www.healthline.com/health/hypoglycemia-without-diabetes 3. https://www.diabetes.co.uk/diabetes_care/blood-sugar-level-ranges.html Questions 1. Define the term Hypoglycemia. 2. Discuss the diagnosis of Hypoglycemia. 3. How can Hypoglycemia be treated? Page 4 of 4 .
Load more

Recommended publications
  • Understanding Your A1C Test
    Diabetes Advisor Understanding Your A1C Test What is the A1C test? The A1C is a blood test that tells you what your average blood sugar (blood glucose) levels have been for the past two to three months. It measures how much sugar is attached to your red blood cells. If your blood sugar is frequently high, more will be attached to your blood cells. Because you are always making new red blood cells to replace old ones, your A1C changes over time as your blood sugar levels change. “Because you are always making new What is eAG? red blood cells to eAG stands for estimated average glucose and is your estimated average blood replace old ones, sugar. This number translates an A1C test result into a number like the one you see when you test your blood sugar at home. For example, an A1C of 7% means your A1C changes that your average sugar for the last two to three months was about 154 mg/dL. over time as your What does an A1C/eAG result mean? blood sugar levels change.” Usually, your A1C gives you general trend in your blood sugar that matches what you see with your day-to-day blood sugar checks. Sometimes, however, your A1C result may seem higher or lower than you expected. That may be because you aren’t checking your blood sugar at times when it’s very high or very low. Use the chart below to understand how your A1C result translates to eAG. First find your A1C number on the left.
    [Show full text]
  • Serological (Antibody) Testing for Covid-19
    SEROLOGICAL (ANTIBODY) TESTING FOR COVID-19 Serological tests detect antibodies in the blood People in the early stages of COVID-19 might generated as part of the immune response test antibody negative despite being highly to a specific infection, such as infection with infectious. Additionally, some tests might give a SARS-CoV-2, the virus that causes COVID-19. false positive result because of past or present Antibody tests are different from tests such as infection with other types of coronaviruses. polymerase chain reaction (PCR) and antigen False positive results are also more likely tests which detect the SARS-CoV-2 virus. when the percentage of the population with Many new serological tests for COVID-19 have the disease is low. The Idaho Division of Public been developed and have an emergency use Health discourages persons who have a positive authorization (EUA) from the U.S. Food and serology test from relaxing the precautions such Drug Administration (FDA). Only antibody tests as social distancing that are recommended for that have an FDA EUA should be used. The all Idahoans to prevent spread of coronavirus, Idaho Division of Public Health discourages and strongly discourages employers form the use of unauthorized serology-based assays relaxing the employee protections for an for diagnosis of COVID-19 or determining if employee solely based upon a positive serology someone is currently infected or had a prior test. infection. The immune response to SARS-CoV-2 (the Serological tests are not recommended for virus that causes COVID-19) infection is not COVID-19 diagnosis in most situations because well understood.
    [Show full text]
  • Jaundice Protocol
    fighting childhood liver disease Jaundice Protocol Early identification and referral of liver disease in infants fighting childhood liver disease 36 Great Charles Street Birmingham B3 3JY Telephone: 0121 212 3839 yellowalert.org childliverdisease.org [email protected] Registered charity number 1067331 (England & Wales); SC044387 (Scotland) The following organisations endorse the Yellow Alert Campaign and are listed in alphabetical order. 23957 CLDF Jaundice Protocol.indd 1 03/08/2015 18:25:24 23957 3 August 2015 6:25 PM Proof 1 1 INTRODUCTION This protocol forms part of Children’s Liver Disease Foundation’s (CLDF) Yellow Alert Campaign and is written to provide general guidelines on the early identification of liver disease in infants and their referral, where appropriate. Materials available in CLDF’s Yellow Alert Campaign CLDF provides the following materials as part of this campaign: • Yellow Alert Jaundice Protocol for community healthcare professionals • Yellow Alert stool colour book mark for quick and easy reference • Parents’ leaflet entitled “Jaundice in the new born baby”. CLDF can provide multiple copies to accompany an antenatal programme or for display in clinics • Yellow Alert poster highlighting the Yellow Alert message and also showing the stool chart 2 GENERAL AWARENESS AND TRAINING The National Institute of Health and Clinical Excellence (NICE) has published a clinical guideline on neonatal jaundice which provides guidance on the recognition, assessment and treatment of neonatal jaundice in babies from birth to 28 days. Neonatal Jaundice Clinical Guideline guidance.nice.org.uk cg98 For more information go to nice.org.uk/cg98 • Jaundice Community healthcare professionals should be aware that there are many causes for jaundice in infants and know how to tell them apart: • Physiological jaundice • Breast milk jaundice • Jaundice caused by liver disease • Jaundice from other causes, e.g.
    [Show full text]
  • Glucose Regulation in Diabetes
    Glucose Regulation in Diabetes Samantha Lozada Advised by Charles S. Peskin and Thomas Fai Glucose 1 Abstract Complicated and extensive models of glucose regulation, involving several variables, have been developed over the years. Our research specifically focuses on the feedback loop between insulin and glucagon. Although our model is simpler than a model including state variables such as non-esterified fatty acids concentration in the blood plasma, β-cell mass, TAG content of lipocytes, and/or leptin concentrations in the blood plasma, we are still able to simulate most of the key effects of diabetes and other health problems on glucose regulation; such as, hyperglycemia, hyperinsulinism, and insulin shock (hypoglycemia). We are even able to simulate eating a bowl of vanilla ice cream! 2 Introduction For most of our qualitative and quantitative experimentations we worked with MATLAB, a computer programming language and data visualization software, which offers a rich set of tools for solving problems in engineering, scientific, computing, and mathematical disciplines, such as a graphical user interface. Our model is a refinement of a realistic model developed by Cobelli et al. (1982). Despite the fact that the paper is nearly 28 years old, the experimental data of diagnostic tests used by medical professionals, such as the Intravenous Glucose Tolerance Test (IVGTT), correlates with our simulated graphs. From a Biological Perspective Regulation in a Healthy System In order for us to model any biological system, we need to first understand exactly what is happening within a human body. We need to ask what causes this effect and why. To answer these questions we need to identify the key organs and hormones, and then see how they interact within our bodies.
    [Show full text]
  • Lactose Tolerance Blood Test
    Lactose tolerance blood test Lactose tolerance tests measure the ability of your intestines to break down lactose, a type of sugar found in milk and other dairy products. How the test is performed The lactose tolerance blood test looks for glucose in your blood. Your body creates glucose when lactose breaks down. For this test, several blood samples will be taken before and after you drink the lactose solution described above. For information on how a blood sample is obtained, see venipuncture. How to prepare for the test You should not eat for 8 hours before the test. Avoid strenuous exercise for 8 hours before the test. How the test will feel There should not be any pain or discomfort when giving a breath sample. When the needle is inserted to draw blood, some people feel moderate pain, while others feel only a prick or stinging sensation. Afterward, there may be some throbbing. Why the test is performed Your doctor may order these tests if you have signs of lactose intolerance. Normal Values The breath test is considered normal if the increase in hydrogen is less than 12 parts per million over your fasting (pre-test) level. The blood test is considered normal if your glucose level rises more than 30 mg/dL within 2 hours of drinking the lactose solution. A rise of 20-30 mg/dL is inconclusive. Note: Normal value ranges may vary slightly among different laboratories. Talk to your doctor about the meaning of your specific test results. The examples above show the common measurements for results for these tests.
    [Show full text]
  • Rotational Thromboelastometry Predicts Care Level in Covid-19
    medRxiv preprint doi: https://doi.org/10.1101/2020.06.11.20128710; this version posted June 12, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity. It is made available under a CC-BY-NC-ND 4.0 International license . Rotational Thromboelastometry predicts care level in Covid-19 1 2 3 4 Lou M. Almskog, MD ;​ Agneta Wikman, MD, PhD ;​ Jonas Svensson, MD ;​ ​ ​ ​ 1 5 6 2 Michael Wanecek, MD, PhD ;​ Matteo Bottai, PhD ;​ Jan van der Linden, MD, PhD ​ ​ ​ 7 8 9 ;​ Anna Ågren, MD, PhD .​ ​ 1 Department​ of Anaesthesiology and Intensive Care, Capio St Göran’s Hospital, Stockholm, Sweden 2 ​ Department of Molecular Medicine and Surgery, Karolinska Institutet, Stockholm, Sweden 3 ​ Department of Clinical Immunology and Transfusion Medicine, Karolinska University Hospital and Department of CLINTEC, Karolinska Institutet, Stockholm, Sweden 4 ​ Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden 5 Department​ of Physiology and Pharmacology, Karolinska Institutet, Stockholm, Sweden 6 Unit​ of Biostatistics, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden 7 Perioperative​ Medicine and Intensive Care, Karolinska University Hospital, Stockholm, Sweden 8 Coagulation​ Unit, Division of Hematology, Karolinska University Hospital, Stockholm, Sweden 9 ​ Department of Clinical Sciences, Danderyd Hospital, Stockholm, Sweden NOTE: This preprint reports new research that has not been certified by peer review and should not be used to guide clinical practice. medRxiv preprint doi: https://doi.org/10.1101/2020.06.11.20128710; this version posted June 12, 2020. The copyright holder for this preprint (which was not certified by peer review) is the author/funder, who has granted medRxiv a license to display the preprint in perpetuity.
    [Show full text]
  • Religious Fasting, Ramadan and Hypoglycemia in People with Diabetes
    VOLUME 7 > ISSUE 01 > JUNE 30 2014 SPOTLIGHT ARTICLE Diabetic Hypoglycemia June 2014, Volume 7, Issue 1: page 15-19 Religious fasting, Ramadan and hypoglycemia in people with diabetes Alia Gilani1, Melanie Davies2, Kamlesh Khunti2 1 NHS Glasgow, United Kingdom 2 Leicester Diabetes Centre, Leicester General Hospital, Leicester, United Kingdom Abstract Most Muslims with diabetes will take part in Ramadan even though they may be exempt from doing so. In some countries a religious fast can last between 10 and 21 hours. The main risk of fasting to people with diabetes is hypoglycemia. People with diabetes who fast may have to alter the dose of their medications or modify their therapeutic regimen to avoid hypoglycemia, which can have adverse effects on glycemic control. Therapies which pose a high risk of hypoglycemia when used during fasting are sulfonylureas and insulin therapy. Metformin, incretin therapies and the newer sodium glucose co-transporter 2 inhibitor class have a low risk of hypoglycemia. The practice of fasting during Ramadan is advocated for all healthy individuals. If deemed detrimental to health then a person can be considered exempt from fasting; this includes frail and elderly people, pregnant and breast feeding women, children and people with multi-morbidities. Keywords: diabetes, hypoglycemia, Ramadan, religious fasting Introduction the Islamic calendar, the risks associated with prolonged fasting and how it should be managed. Living in a diverse society, it is important that healthcare professionals are kept informed about cultural and religious Fasting during Ramadan practices, which can affect the control of diabetes. The practice of fasting by Muslims has implications for Muslim What does fasting entail? people with diabetes, in particular an increased risk of Ramadan in Arabic is translated as “sawm”, literally hypoglycemia during the period of Ramadan and at other meaning “abstention from”.
    [Show full text]
  • Understanding Your Blood Test Lab Results
    Understanding Your Blood Test Lab Results A comprehensive "Health Panel" has been designed specifically to screen for general abnormalities in the blood. This panel includes: General Chemistry Screen or (SMAC), Complete Blood Count or (CBC), and Lipid examination. A 12 hour fast from all food and drink (water is allowed) is required to facilitate accurate results for some of the tests in this panel. Below, is a breakdown of all the components and a brief explanation of each test. Abnormal results do not necessarily indicate the presence of disease. However, it is very important that these results are interpreted by your doctor so that he/she can accurately interpret the findings in conjunction with your medical history and order any follow-up testing if needed. The Bernards Township Health Department and the testing laboratory cannot interpret these results for you. You must speak to your doctor! 262 South Finley Avenue Basking Ridge, NJ 07920 www.bernardshealth.org Phone: 908-204-2520 Fax: 908-204-3075 1 Chemistry Screen Components Albumin: A major protein of the blood, albumin plays an important role in maintaining the osmotic pressure spleen or water in the blood vessels. It is made in the liver and is an indicator of liver disease and nutritional status. A/G Ratio: A calculated ratio of the levels of Albumin and Globulin, 2 serum proteins. Low A/G ratios can be associated with certain liver diseases, kidney disease, myeloma and other disorders. ALT: Also know as SGPT, ALT is an enzyme produced by the liver and is useful in detecting liver disorders.
    [Show full text]
  • Study Protocol
    CLINICAL TRIAL REPORT ZP4207-16136 (ZEA-DNK-01711) 16.1 TRIAL INFORMATION 16.1.1 PROTOCOL AND PROTOCOL AMENDMENTS This appendix includes Document Date, Version Clinical Trial Protocol 18 January 2017, Version 1 Amendment 01 08 May 2017 Clinical Trial Protocol 08 May 2017, Version 2 Amendment 02 21 August 2017 Clinical Trial Protocol 21 August 2017, Version 3 Section 16.1.1: Protocol and Protocol Amendments Clinical Trial Protocol, final version 1 ZP4207-16136 (ZEA-DNK-01711) Clinical Trial Protocol A phase 3, Randomized, Double-Blind, Parallel Group Safety Trial to Evaluate the Immunogenicity of Dasiglucagon Compared to GlucaGen® Administered Subcutaneously in Patients with Type 1 Diabetes Mellitus (T1DM) Sponsor code: ZP4207-16136 SynteractHCR: ZEA-DNK-01711 EudraCT number: 2017-000062-30 Coordinating investigator: Linda Morrow, MD Prosciento 855 Third Avenue 91911 Chula Vista CA, USA Sponsor: Zealand Pharma A/S Smedeland 36 2600 Glostrup, Copenhagen Denmark Version: final version 1 Date: 18 January 2017 GCP statement This trial will be performed in compliance with Good Clinical Practice (GCP), the Declaration of Helsinki (with amendments) and local legal and regulatory requirements. 18 Jan 2017 CONFIDENTIAL Page 1/48 Clinical Trial Protocol, final version 1 ZP4207-16136 (ZEA-DNK-01711) Title: A phase 3, randomized, double-blind, parallel group safety trial to evaluate the immunogenicity of dasiglucagon compared to GlucaGen® administered subcutaneously in patients with type 1 diabetes mellitus (T1DM) I agree to conduct this trial according to the Trial Protocol. I agree that the trial will be carried out in accordance with Good Clinical Practice (GCP), with the Declaration of Helsinki (with amendments) and with the laws and regulations of the countries in which the trial takes place.
    [Show full text]
  • Community Lab Costs
    Sickle Cell This tests for the genetic trait which may lead to sickle cell anemia. Osteoporosis Screening This uses ultrasound to screen people for low bone density or osteoporosis and is completed by painlessly scanning the heel. Because osteoporosis rarely causes signs or symptoms until it’s advanced, the National Osteoporosis Foundation recommends a bone density test if you are: • A woman older than age 65 or a man older than age 70 • A postmenopausal woman with at least one risk factor for osteoporosis Community Lab Costs • A man between age 50 and 70 who has at least one osteoporosis (greatly reduced rates) risk factor • Older than age 50 with a history of a broken bone • Taking medications, such as prednisone, aromatase inhibitors or Wellness Panel........................................................................ $20 Fasting anti-seizure drugs, that are associated with osteoporosis Includes screening for glucose, electrolytes, kidney, liver and • A postmenopausal woman who has recently stopped taking thyroid, plus complete blood count and lipid profile hormone therapy • A woman who experienced early menopause Diabetic Screening (A1c)...................................................... $5 The results of this test will indicate if you have or at risk for osteoporosis. Sickle Cell................................................................................ $6 If so, your doctor can offer treatment. PSA (Prostate Screening)...................................................... $8 Breathing Test This measures airflow and lung
    [Show full text]
  • Understanding Your Liver Function Results
    www.healthinfo.org.nz Understanding your liver function results Your liver is a very important organ that has many jobs. Some of its jobs are to make proteins, make bile to help you digest fats, store energy, and break down some toxins and medicines. Liver function tests are done if you have symptoms of a liver condition or risk factors for liver disease such as fatty liver, viral hepatitis or high alcohol use. They are also checked if you are taking medicines that can affect how your liver works. Terms used Protein: this is the total of all the different types of protein in your blood. Albumin: this is the main protein your liver makes. It goes into your blood and helps to carry many things around your body. Bilirubin: this is something your body makes when it breaks down old red blood cells and replaces them with new ones. Bilirubin gives bile its yellow colour. Alkaline phosphatase (ALP): this is an enzyme in your liver and bones. (An enzyme is a chemical that helps to speed up other chemical processes.) GGT: this stands for gamma glutamyltransferase, which is an enzyme in your liver. ALT: this stands for alanine aminotransferase, which is another enzyme in your liver. AST: this stands for aspartate aminotransferase, which is also an enzyme in your liver. Normal result If you have a copy of your test results, it will show your results and a normal range for each test. The normal ranges may vary depending on your gender and age group and whether you're pregnant or have any underlying health conditions.
    [Show full text]
  • Jaundice and Your Baby
    Jaundice and your baby What is jaundice? Jaundice is a common condition in newborn babies. It can give the skin or the white part of the eyes a yellow colour. The yellow comes from bilirubin in the blood. Before birth, the mother’s liver removes the bilirubin from the baby’s blood. After the baby is born, it takes a few days for the baby’s liver to get better at removing the bilirubin on its own. During this time, many babies develop jaundice. Jaundice can occur in a baby of any race or skin colour. Feeding your baby often (especially breastfeeding) in the first few hours and days after birth can help lower the risk of jaundice. This helps your baby pass more bowel movements (stools) and gives your baby’s liver the energy it needs to remove the bilirubin. Are some babies more likely to get jaundice? Yes, these circumstances can make jaundice more likely or make jaundice worse: Birth earlier than 2 weeks before the due date Bruising from a difficult delivery such as when forceps are used Baby’s blood type is different than the mother’s blood type Signs of jaundice within the first 24 hours after birth Baby has a sibling who was treated for jaundice Baby is not feeding well, especially if breastfeeding Baby has an infection Baby is of East Asian race (for example, Japanese, Chinese, Indonesian, Korean, Vietnamese or Cambodian) Baby has a family history of a genetic condition called G6PD deficiency Page - 1 Jaundice and your baby Is jaundice harmful? Most babies have mild jaundice, which is not harmful.
    [Show full text]