I m 1st year resident paed from india. Your videos are so good n so informative Thank you for sharing with all I would request you to start series on PICU as well Have recommended your channel to my co residents.
Hello! We’re so happy you’re finding these videos helpful - and thank you so much for sharing and giving that support! I’m a neonatologist- so I wouldn’t feel great about giving “expert” advice in a field I’m not an expert in!!! I’m sure there are lots of great videos out there!
Thank you for all these very helpful information on hypoglycemia. So glad I came across your channel. Will subscribe of course 😊Just Love the way you explain things! Very clear and easy to understand.
Thanks Dr. Tala I have a question What are best value Glucose infusion rate for term low birth weight very low birth weight extremely low birth weight ang IUGR?
Really we don’t want to go below a GIR of 4 because that’s what brain needs. A lot of these babies have issues with HYPERglycemia after birth (ELBW) so often we start close to that. The LBW babies we may start higher ~ 5 especially if they have hypoglycemia. Does that make sense? We cover this more in tomorrows lecture!!!!
Homework: 1. 5 signs of hypoglycemia Jittery, tachypnea, irritability (early) seizures, lethargy (late) 2. IDM have hypoglycemia because they are getting a large amount of sugar diffused from their mom and when that supply is discontinued after the cord is cut, the pancreas may still be secreting large amounts of insulin that will tank that high amount of sugar 3. We care about hypoglycemia in the newborn because glucose is the primary fuel for the brain which dictates other systems, and extended periods of hypoglycemia can result in unfavorable developmental outcomes Question!! I don't understand how bedside sugar checks are considered "plasma" samples. Doesn't the lab centrifuge and separate the blood cells from plasma? I think its a totally foreign concept to me. In my NICU we get blood sugar within hour after birth and usually intervene in the form of D10 boluses then infusion just based off a single heelstick; rarely sweetcheeks, othertimes feeding (depending on the value ofcourse) I recall many of our cooling babies and babies with HIE often have trouble with glucose regulation but I never got the change to understand exactly why. Can you cover that in the next video? Thanks Teach!!
Oh WOW!!! I want to send you a gold star! Well done!!! To check the blood glucose in whole blood the blood cells need to actually be broken down (so also checking fluid in blood cells for concentration ). The lab does this. We do something very similar in our NICUs too. We touch on HIE in next video - out on Monday- but the key thing to know is lots of bad things happen with HIE. So many hormones and processes begin in brain- so often it all goes abnormal under stress. Often sugars go up at start because of baby’s perinatal stress, then they go down because baby needs sugar, before they finally stabilize! Thank you thank you for watching and your enthusiasm!
1. 5sx Jitterness,irritability, poor feed,lethargy,seizures 2. IDM baby Transient increase in insulin levels 3. Why do we care about hypoglycemia Increased risk of neurosensory impairment at later life.
Love listening to everything you discuss ✨✨ you make it easy to understand 😊 Thankyou!!
Can’t tell you how happy it makes us to know our videos make things easier!!! Thank you thank you!!!
@@TalaTalksNICU I love all your NICU content!! Because of you and your knowledge I was able to pass my Neonatal RNC exam 🤗
Oh yay!!!!! Congratulations! Was definitely not all our stuff- I bet you worked super hard too! But thank you! Made my day :)
Thank you and GO you!
@@TalaTalksNICU Thankyou. !!!
It was a lot of studying and hard work 🤗but proud of that accomplishment!!🩷
Thankyou!!
You're the best teacher in the WORLD❤
What a lovely comment to wake up to! True or not! Ha! Thank you for being here/ you’ve made my Friday!
I m 1st year resident paed from india.
Your videos are so good n so informative
Thank you for sharing with all
I would request you to start series on PICU as well
Have recommended your channel to my co residents.
Hello! We’re so happy you’re finding these videos helpful - and thank you so much for sharing and giving that support! I’m a neonatologist- so I wouldn’t feel great about giving “expert” advice in a field I’m not an expert in!!! I’m sure there are lots of great videos out there!
This is a good thumbnail design - much improved 👌🙌
Haha! Good! We’re trying!!!! Arianna and I both like the medical teaching aspects so all this other tech stuff has been a learning curve!!!
Thank you for all these very helpful information on hypoglycemia. So glad I came across your channel. Will subscribe of course 😊Just Love the way you explain things! Very clear and easy to understand.
What a lovely comment! We’re so glad you came across the channel too!!! Thank you for taking the time to write!
As expected… always sounds easy ❤️
Waiting for the next Vid
Thank so much! Biggest compliment to think something sounds easy
Thanks Dr tala
Thank you for your support!
A lot of thanks, Dr Tala
A lot of thanks to you for being here :)
Thanks Dr. Tala
I have a question
What are best value Glucose infusion rate for term low birth weight very low birth weight extremely low birth weight ang IUGR?
Really we don’t want to go below a GIR of 4 because that’s what brain needs. A lot of these babies have issues with HYPERglycemia after birth (ELBW) so often we start close to that. The LBW babies we may start higher ~ 5 especially if they have hypoglycemia. Does that make sense? We cover this more in tomorrows lecture!!!!
Homework:
1. 5 signs of hypoglycemia Jittery, tachypnea, irritability (early) seizures, lethargy (late)
2. IDM have hypoglycemia because they are getting a large amount of sugar diffused from their mom and when that supply is discontinued after the cord is cut, the pancreas may still be secreting large amounts of insulin that will tank that high amount of sugar
3. We care about hypoglycemia in the newborn because glucose is the primary fuel for the brain which dictates other systems, and extended periods of hypoglycemia can result in unfavorable developmental outcomes
Question!!
I don't understand how bedside sugar checks are considered "plasma" samples. Doesn't the lab centrifuge and separate the blood cells from plasma? I think its a totally foreign concept to me.
In my NICU we get blood sugar within hour after birth and usually intervene in the form of D10 boluses then infusion just based off a single heelstick; rarely sweetcheeks, othertimes feeding (depending on the value ofcourse)
I recall many of our cooling babies and babies with HIE often have trouble with glucose regulation but I never got the change to understand exactly why. Can you cover that in the next video?
Thanks Teach!!
Oh WOW!!! I want to send you a gold star! Well done!!!
To check the blood glucose in whole blood the blood cells need to actually be broken down (so also checking fluid in blood cells for concentration ). The lab does this. We do something very similar in our NICUs too.
We touch on HIE in next video - out on Monday- but the key thing to know is lots of bad things happen with HIE. So many hormones and processes begin in brain- so often it all goes abnormal under stress. Often sugars go up at start because of baby’s perinatal stress, then they go down because baby needs sugar, before they finally stabilize! Thank you thank you for watching and your enthusiasm!
Thank you Tala
Where is the next video of hypoglycemia definition and management?
Next week- we publish videos every two weeks because they’re all so time consuming! (So Monday 16th Sept for that one!)
Thank you
Thank you for being here :)
Thank for the well explained video 🇸🇸
So glad you liked it! Thanks for writing!
Wonderful
Thank you! Next one more helpful!
The pdf newsletter kindly..
Consider pain management in neonates video
Thanks
URGH!!!! I’m so sorry!!!! Still haven’t done this! I promise by the need of the year!!!
1. 5sx
Jitterness,irritability, poor feed,lethargy,seizures
2. IDM baby
Transient increase in insulin levels
3. Why do we care about hypoglycemia
Increased risk of neurosensory impairment at later life.
Yes!!! Amazing!