P121Differential diagnosis of hyperglycaemia at day five of life: Implications for a new born screening programmeTJ MCDONALD1,2, SE Flanagan3, B Knight21Blood Sciences, Royal Devon and Exeter NHS Foundation Trust, Exeter, UK, 2National Institute for Health Research (NIHR), Exeter Clinical Research Facility, University of Exeter, Exeter, UK, 3Institute of Biomedical and Clinical Sciences, University of Exeter Medical School, Exeter, UKAims: Neonatal diabetes (ND) is a rare form of diabetes diagnosed in the first six months of life. We have recently shown that ND can be detected at day five of life using blood spot glucose level as part of newborn screening. The aim of this work was to identify other causes of raised blood glucose levels at day 5 of lifeMethods: We reviewed routinely requested blood glucose results from NHS laboratory records on samples taken from babies (5 to 7 days of age) over a five‐year period in a regional maternity unit with approximately 4,000 deliveries a year (n = 19,800 births). Glucose result, gestational age and associated clinical data were collected.Results: Over five years, 136 hospitalised babies had glucose measured between days 5 and 7. There were only nine babies over the five‐year period with blood glucose >7mmol/l, the median (interquartile range)
Diabetic Medicine – Wiley
Published: Jan 1, 2018
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