RISKS for Infants of Diabetic Mother: HYPOGLYCEMIA and what else???!!

Рет қаралды 18,456

Күн бұрын

You all know IDMs can become hypoglycemic- but what else are IDMs at risk for??? Learn all about congenital malformations, metabolic and hematological issues, and cardiorespiratory abnormalities in infants of the diabetic mothers - Tala Talks NICU
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Please be sure to give us a like, comment about future topics, and subscribe to this channel to stay up to date on all things NICU! Also, click the notification bell after you subscribe to gain your weekly NICU knowledge as soon as it's loaded!
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Dr. Tala is a board-certified neonatologist and has worked in busy level III and IV units for the past 15 years. She has won multiple teaching awards throughout her time as a neonatologist.
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**TIMESTAMPS**
01:37 General information about diabetes during pregnancy
04:30 Difference between gestational and pre-gestational diabetes on the babies
09:12 Congenital malformations in IDMs
11:56 The way diabetes affects the infant’s weight and size
14:27 The size of the infant and the effect on perinatal trauma and depression
16:29 Metabolic disorders in IDMs
22:05 Hematological issues in IDMs
24:12 Cardiorespiratory issues in IDMs
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Music: www.bensound.com (royalty free with credit)
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*Disclaimer*: This video is intended for educational purposes only and while
we strive to give the most accurate information, errors may occur. Subsequently,
this video should not be a replacement for medical advice.

Пікірлер: 85

@mathewdibbern595 Ай бұрын

This was so informative from a respiratory standpoint!! This week alone I had two 35 weekers come out in respiratory distress one needed needle aspirated and surfed. Thanks for helping understand why!

@TalaTalksNICU 24 күн бұрын

Crazy how they come in pairs and theres- always! So glad you found this helpful!

@lvillarreal8865 2 жыл бұрын

Awesome as always Dr. Tala!!!

@TalaTalksNICU 2 жыл бұрын

We always love your comments! Thanks so much for your continued support :)

@mercyagoh-dorman258 2 жыл бұрын

Clear, concise and very informative. Thank you

@TalaTalksNICU 2 жыл бұрын

Thanks so much Mercy for your lovely words. We really appreciate you being here :)

@bernadetteanntabdi2545 2 жыл бұрын

Thank you Dr. Tala! God Bless you!

@TalaTalksNICU 2 жыл бұрын

Thank you for the lovely sentiment Bernadette! We really appreciate you being here :)

@skawagu2 Жыл бұрын

It was one of the best videos I've ever watched during med school. Thank you so much!

@TalaTalksNICU Жыл бұрын

Wow! Thank you! That comment made our day!!!! Please check out the other ones and let us know if there are any videos you’d be interested in?!

@MamaGiegie Жыл бұрын

Thank you very much for this wonderful discussion. This is really a great help to me. Love the way you expound the topic/s.

@TalaTalksNICU Жыл бұрын

We're so happy you found this video helpful. Thank you so much for taking the time to write to us :)

@danchristinerepp2681 Жыл бұрын

I work in a small community hospital as an LDRP nurse and we seem to be seeing more and more pregnant women with uncontrolled diabetes. This was so helpful to explain the “why” of a number of issues we see with these babies. I appreciate your ability to convey information in easy to understand terms.

@TalaTalksNICU Жыл бұрын

Hello- we're so glad this has been helpful all! Thanks so much for taking the time let us know. Also- so impressive you're looking for education in alternative places- on like a NICU youtube channel. Says a lot more about you than about us!!! Thank you :)

@drazam325 2 жыл бұрын

Very commanding talk Dr Tala

@TalaTalksNICU 2 жыл бұрын

Thank you so much for continuing to watch our channel!!! We appreciate your support :)

@Namronnnn45 2 ай бұрын

Thanks for this. Take my OB final in 2 weeks. lets go!!

@TalaTalksNICU 2 ай бұрын

Oh yay! Good luck!!!! Thanks for writing to us!!!

@kebedealemu8859 Жыл бұрын

Thank you doctor for your explanation.

@TalaTalksNICU Жыл бұрын

Thank you for watching Kebede!

@mwewachansa9959 2 жыл бұрын

Amazing presentation , i enjoy your lectures. Watching you from zambia-AFRICA

@TalaTalksNICU 2 жыл бұрын

That makes us so happy! Thank you for watching and thank you for letting us know where you are! We imagine beautiful views from your NICU!!

@jellymaedesaca8460 2 жыл бұрын

Very informative Doc. Thank you so much for this:)

@TalaTalksNICU 2 жыл бұрын

Thank you for watching and taking the time to thank us!!

@TheTheGhost14 2 жыл бұрын

Thank you!

@TalaTalksNICU 2 жыл бұрын

Thank you so much for watching and commenting :)

@wparsa 2 жыл бұрын

Thank you doctor

@TalaTalksNICU 2 жыл бұрын

Thank you so much for watching and for taking the time to comment :)

@joemygawd 10 ай бұрын

Wow that was a lot. Nicely done!

@TalaTalksNICU 10 ай бұрын

Thank you Joey- and again- thanks for subscribing!

@minhajtabish 2 жыл бұрын

Amazing 👏👏

@TalaTalksNICU 2 жыл бұрын

Thank you so much! And thanks so much for subscribing Minhaj :)

@mahaqazzaz2531 2 жыл бұрын

Thank you very much

@TalaTalksNICU 2 жыл бұрын

Thank you so much for watching and for taking the time to comment :)

@eyadalrefai6438 2 жыл бұрын

Very nice presentation 👍👍 Thank you so much

@TalaTalksNICU 2 жыл бұрын

Thank you so much for watching and for taking the time to comment Eyad :)

@syedmuzaffar2966 2 жыл бұрын

Great very informative

@TalaTalksNICU 2 жыл бұрын

We're so glad you found it informative. Thanks so much for being here Syed :)

@marwaelfar7880 5 ай бұрын

Amazing videos....i do recommend

@TalaTalksNICU 5 ай бұрын

Thank you- we appreciate your support!

@asmamajeed7551 Жыл бұрын

Very veryy well explained

@TalaTalksNICU Жыл бұрын

Thank you so much :)

@ngawanajerydel8571 2 жыл бұрын

thank you

@TalaTalksNICU 2 жыл бұрын

Thank you so much for watching (and for subscribing!)!!

@aljoharaha7807 15 күн бұрын

Blesss u 😊

@TalaTalksNICU 14 күн бұрын

Thank you :))))

@sifnamoljoseph85 11 ай бұрын

good presentation

@TalaTalksNICU 11 ай бұрын

Thank you!!!!

@latifamohammed9849 Жыл бұрын

Very useful information

@TalaTalksNICU 11 ай бұрын

So glad you think so- thank you!

@edmonduku9330 Жыл бұрын

well explained

@TalaTalksNICU Жыл бұрын

Thank you so much!!

@cecileaglae7643 2 жыл бұрын

Thanks

@TalaTalksNICU 2 жыл бұрын

Thank you for watching :)

@madanat1000 Жыл бұрын

Thank you so much for the rich and smooth videos you do on this channel. Back in the late 90s while going through my neonatology training at LLUCH , we were instructed to check G.S q 15 minutes in the first 4 hours , especially in mother with poorly controlled blood sugar . i wonder if you can give standard protocol for such situation ? currently i go with q 1/2 hour in the first 4 hours ! thanks

@TalaTalksNICU Жыл бұрын

Hello! So glad you like the videos. So generally the only babies we check for sugars are the ones at risk (SGA, LGA, IDM and premature). Protocols are pretty much set by different hospitals. Generally, the first sugar is checked soon after birth ~1 hr. Even the threshold for hypoglycemia is different in different hospitals (somewhere around < 45). If sugars are normal then they're checked qAC for 12- 24 hrs. If abnormal- then a different pathway followed- we use glucose gel if needed. Does that help?!

@sumathybalaji5252 2 жыл бұрын

Nice video

@TalaTalksNICU 2 жыл бұрын

We're so glad you liked it Sumathy! Thanks for letting us know :)

@shabirdraayatmalla9 6 ай бұрын

Excellent work...But images and graphics will make presentation much tastier....Anyway excellent job

@TalaTalksNICU 5 ай бұрын

You are so right! We made this video a couple of years ago and have since realized how we need to be including so many more pictures and graphics. Slightly improving but we still have a ways to go!!!! Thank you!

@cecileaglae7643 2 жыл бұрын

Hi Dr Tala, Is it possible to do videos on osteopenia in preterm and at what stage does low phosphate is concern a GI issue, chest and abdominal X-rays please.All your videos are very informative.

@TalaTalksNICU 2 жыл бұрын

Hi Cecile- this is a great idea. It's funny- when I was in residency- we had so many issues with osteopenia (and alkaline phosphatase >1000, with poor little babies getting fractures)- now we're all so much better with nutrition, and we have much better choices, that it's much rarer. But it is a very important topic- especially since we're still on a fluid and electrolyte kick!

@freedaboyoung3722 Жыл бұрын

OMG I wasn't aware insulin can't cross the placenta. I kept thinking it was maternal insulin that accumulated in the child (baby+ mom's insulin maybe had an added action) and needed a day or two to be used up and then the baby would be okay. Thank you for this really informative video!

@TalaTalksNICU Жыл бұрын

So glad it helped! Love those a- ha moments!!!

@freedaboyoung3722 Жыл бұрын

@@TalaTalksNICU yes!!!

@syedmuzaffar2966 2 жыл бұрын

Could you please give presentation on prophylaxis fluconazole in extreme low birth weight baby

@TalaTalksNICU 2 жыл бұрын

Yes! This is a great idea for a quick video! Essentially- it is encouraged in units that have more fungal infections. We can definitely cover that. Thanks for that idea!!!

@amreshyadav2758 3 ай бұрын

could you make a video regarding drawbacks of c- section.. if you already has one, please provide the link. thanks

@TalaTalksNICU 3 ай бұрын

Hello! We haven’t made a C-section video- I’m assuming you meant from a neonatal standpoint! Honestly when OBs are doing a C-section it’s normally to save the baby or save the mama (or better for either for some reason) and so most of the time we have to deal with it!!!!

@AshishPriyadarshi-jj4ib 7 ай бұрын

Can you cover eclampsia and preeclampsia?

@TalaTalksNICU 7 ай бұрын

Yes! We’re planning on this video soon! Thanks so much for the suggestion!

@cecileaglae7643 2 жыл бұрын

Hi Dr Tala Is it possible to explain the pathophysiology of CHI please.

@TalaTalksNICU 2 жыл бұрын

Hello!I'm assuming you're referring to congenital hyperinsulinism? (This used to be called nesidioblastosis)- and it's basically a 'tumor' of the islet cells in the pancreas- that continuously over-secret insulin. (So unlike the normal IDM neonate- the hyperinsulism is transient- with CHI- the high insulin levels never go away). Many of these are genetic in origin. Ultimately they are treated with aggressive feeds (if milder), medications and sometimes surgery- where a large part of the pancreas is removed. (We will cover a video on hypoglycemia at some point!) Thanks foe asking this question :)

@beverlyreyes7675 2 жыл бұрын

Love this easy explanation. Will surely share this video to my nicu nurses 👍

@TalaTalksNICU 2 жыл бұрын

Thank you so much Beverly! You've been such a loyal supporter :)

@rasoulhoma8007 Жыл бұрын

👌👏

@TalaTalksNICU Жыл бұрын

Thank you!!!

@freedaboyoung3722 Жыл бұрын

Dr Tala, when we monitor BSR in an IDM, do we screen for the first 48 hours at hours 0, 2, 4, 6, 12, 24, and 48? Is this the recommendation? We follow this, but sometimes we also follow 2 hourly monitoring (and then relax to 4 hourly blood sugars if they are satisfactory) so I don't know why we have different approaches? Thank you, Dr Tala

@TalaTalksNICU Жыл бұрын

Hello! Excellent question! Each hospital has slightly different protocols- so there really isn’t a standard. Generally sugars are checked before feedings (so we have the lowest possible sugars). So normally this is ~ q 3 hrs. There is so much controversy about which sugar levels are acceptable and what to do about it that I’m guessing every protocol is within standard of care. I wouldn’t be surprised if we all decrease how often we’re checking sugars in asymptomatic neonates in the near future.

@mostafaabuollo9479 Жыл бұрын

thanks alot but why you dont talk about PpHn in idm

@TalaTalksNICU Жыл бұрын

Yes- probably should have emphasized that more. Definitely a higher risk of developing PPHN (RDS, perinatal depression, septal hypertrophy). We look back at so many of these videos and think how we could have improved upon them! We're constantly trying!! Thank you!

@cecileaglae7643 2 жыл бұрын

Sorry l meant consider a Gl issue.

@TalaTalksNICU 2 жыл бұрын

Yes- this is great too- we're going to start a 'symptom' type series- so we'll cover this then too. Thanks for being here!