NEONATAL HYPERGLYCEMIA FROM MOTHER CONSUMED STEROID AT DR MOHAMMAD HOESIN HOSPITAL PALEMBANG Destiana SPS, Aditiawati, Julniar M Tasli,

Herman Bermawi, Afifa Ramadanti, Indrayadi Department of Child Health, a!ulty of Medi!ine, Sriwi"aya #ni$ersity, Dr% Mohammad Hoesin Hospital, Palem&an'

A&stra!t Background Hyper'ly!emia is defined as plasma 'lu!ose ()*+ m',dl -.%/ mmol,01 or whole &lood $alue ()2* m',dl -3%4 mmol,01% Hyper'ly!emia is often asymptomati! and fre5uently dia'nosed on routine s!reenin' of an infant at ris6% An infant &orned from a mother !onsumed !orti!osteroid may !ontri&ute to hyper'ly!emia% Obj c!"# To report the mana'e of neonatal hyper'ly!emia from mother !onsumed !orti!osteroid at Dr% Mohammad Hoesin Hospital% Ca$ A new&orn infant male, /%/++ 'ram, deli$ered to /7 wee6s 'estation &y !aesarian se!tion% There was no ris6s of infe!tion% At the first day of life the &a&y had poor feedin'% 8e did routine la&oratory test that shown no sepsis &ut hi'h Blood 9lu!ose 0e$el -B901 *.. m',dl% In few hours, we monitored B90 whi!h was still hi'h -(:++ m',dl1% Surely there was no o$erinfussion of 'lu!ose so the patient was planned to 'et insulin infusion slidin' s!ale 0.025 unit/kg/hour to 0.05 unit/kg/hour by persists Glucose Infusion Rate (GIR) at 6- !g/kg/!inute % 8e 'a$e re'ular insulin !arefully and monitored B90 routinly% ;ormo'ly!emia was rea!hed after ne<t 23 hours% 8e followed B90 &efore de!ided stop insulin% In ne<t :. hours, B90 was still in a normolimit, so we !ould sure to stop insulin, &ut B90 was still needed to &e o&ser$ed :. hours after free insulin% Conc%u$"on Infant re!ei$in' steroid is a ris6 for hyper'ly!emia% If se$ere hyper'ly!emia still persists, insulin infusion is !onsidered &y 6ept 9IR at 6- !g/kg/!inute% B90 should &e monitored re'ularly durin' and after insulin infusion% & ' (ord$) neonatal hyperglycemia, blood glucose level, glucose insulin rate, insulin infusion