Infants born to mothers with gestational diabetes mellitus (GDM) are at greater risk of adverse metabolic sequelae\nperinatally, in childhood and later life. An infant of a diabetic mother is a baby who is born to a mother with diabetes. Infants\nborn to mothers with glucose intolerance are at an increased risk of morbidity and mortality related to respiratory distress,\ngrowth abnormalities (large for gestational age [LGA], small for gestational age [SGA]), hyperviscosity secondary to\npolycythemia, hypoglycemia, congenital malformations, hypocalcemia, hypomagnesemia and iron abnormalities. These infants\nare likely to be born by cesarean delivery for many reasons, among which are such complications as shoulder dystocia with\npotential brachial plexus injury related to the infant's large size. This can be diagnosed by ultrasound performed on the mother\nin the last few months of pregnancy (baby large for gestational age), CBC count, glucose concentration (serum or whole-blood)\nmagnesium concentration (serum) calcium concentration (serum, ionized or total levels) after birth of the child. Treatment\nusually requires maintaining euglycemia, electrolyte management, respiratory or cardiac management if needed. This paper is a\ncase report of an immediate newborn with comorbidities due to glycemic instability.
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