الفهرس 
Incidence and risk factors of hyperglycemia in very low birth weight infants
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Abstract
Premature infants often develop hyperglycemia. Stress, intravenous glucose, neonatal steroids, and inotropes may increase the incidence of hyperglycemia in premature infants . In very low birth weight (VLBW) infants) birthweight <1,500g( hyperglycaemia is associated with increased rates of morbidity ( late onset sepsis , intraventricular hemorrhage , necrotizing enterocolitis ) and mortality .Our study aim to study the incidence of hyperglycemia in very low birth weight infants and relation to antenatal risk factors ( placental insufficiency , antenatal steroids in pregnant mothers , premature rupture of membranes ) and post natal risk factors ( receiving steroids , inotropes , intravenous glucose, total parenteral nutrition , milk intake & infection in 1st week of life) and relation of hyperglycemia to complications( late onset sepsis, intraventricular hemorrhage, necrotizing enterocolitis), prolonged hospitalization {u02C3}28 days and outcome of these neonates. This cross-sectional comparative study carried out in the NICU of El-Kasr El-Aini hospital, Cairo University & Abu El Rish El Monira Hospital between February 2015 and July 2015 included 60 VLBW neonates who were admitted since birth to NICU . Random blood glucose was measured during 1st week of life (checked every 3 hours in the 1st 48 hours, then every 6 hours for the next 5 days) using glucometer BG strips through a heel pin prick .Thorough maternal history taking focusing on maternal diseases causing placental insufficiency, antenatal steroids intake , mode of delivery , PROM . Assessment of birth weight , gestational age, Apgar score at 1 ,5 and 10 minutes , medications , nutritional assessment and IV fluid intake during 1st week of life . Assesment of development of complications was performed