Hyperglycemia and Sepsis in a Newborn-Reply
Abstract
Abstract Dr Kramer is correct in pointing out that hyperglycemia in neonates with sepsis may have multiple etiologic factors. We were unable to measure the possible contributing effects of human growth hormone, hydrocortisone, glucagon, or catecholamines. Cryer et al1 measured these hormones in baboons with Escherichia coli sepsis. They concluded that an inadequate insulin response was sufficient to account for hyperglycemia in sepsis.1 Our patient had serum levels of insulin of 11 μU/mL...