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What is Infants of diabetic mother manifests all except and explain in detail?
Neonatal hypoglycemia is defined as a plasma glucose level below 40mg/dl. Hypoglycemia is caused by hyperinsulinemia due to hyperplasia of fetal pancreatic beta cells consequent to maternal-fetal hyperglycemia. Because the continuous supply of glucose is stopped after bih, the neonate develops hypoglycemia because of insufficient substrate. Hypoglycemia is d/t diminished production of parathormone after bih and is defined as serum calcium level less than 7mg/dl in term babies. There is a higher risk of congenital malformations in infants born to diabetic mother-25% risk when the HbA1c level in the first trimester is > 10%. Reference : page 243 Textbook of Obstetrics Sheila Balakrishnan 2nd edition and page 181 Ghai Essential Pediatrics 8th edition