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

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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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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.

Опубликовано:

20 июл 2024

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Комментарии : 85

@lvillarreal8865 2 года назад

Awesome as always Dr. Tala!!!

@TalaTalksNICU 2 года назад

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

@bernadetteanntabdi2545 2 года назад

Thank you Dr. Tala! God Bless you!

@TalaTalksNICU 2 года назад

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

@skawagu2 Год назад

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

@TalaTalksNICU Год назад

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?!

@mathewdibbern595 Месяц назад

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 Месяц назад

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

@mercyagoh-dorman258 2 года назад

Clear, concise and very informative. Thank you

@TalaTalksNICU 2 года назад

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

@MamaGiegie Год назад

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 Год назад

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

@Namronnnn45 2 месяца назад

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

@TalaTalksNICU 2 месяца назад

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

@danchristinerepp2681 Год назад

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 Год назад

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 :)

@mwewachansa9959 2 года назад

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

@TalaTalksNICU 2 года назад

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 года назад

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

@TalaTalksNICU 2 года назад

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

@madanat1000 Год назад

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 Год назад

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?!

@drazam325 2 года назад

Very commanding talk Dr Tala

@TalaTalksNICU 2 года назад

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

@kebedealemu8859 Год назад

Thank you doctor for your explanation.

@TalaTalksNICU Год назад

Thank you for watching Kebede!

@joemygawd 11 месяцев назад

Wow that was a lot. Nicely done!

@TalaTalksNICU 10 месяцев назад

Thank you Joey- and again- thanks for subscribing!

@scratchopoly7161 8 месяцев назад

Thank you 🙏🏼

@TalaTalksNICU 8 месяцев назад

You're so welcome- thanks for being here :)

@marwaelfar7880 6 месяцев назад

Amazing videos....i do recommend

@TalaTalksNICU 6 месяцев назад

Thank you- we appreciate your support!

@eyadalrefai6438 2 года назад

Very nice presentation 👍👍 Thank you so much

@TalaTalksNICU 2 года назад

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

@cecileaglae7643 2 года назад

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 года назад

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!

@sifnamoljoseph85 11 месяцев назад

good presentation

@TalaTalksNICU 11 месяцев назад

Thank you!!!!

@wparsa 2 года назад

Thank you doctor

@TalaTalksNICU 2 года назад

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

@mahaqazzaz2531 2 года назад

Thank you very much

@TalaTalksNICU 2 года назад

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

@asmamajeed7551 Год назад

Very veryy well explained

@TalaTalksNICU Год назад

Thank you so much :)

@syedmuzaffar2966 2 года назад

Great very informative

@TalaTalksNICU 2 года назад

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

@amreshyadav2758 3 месяца назад

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

@TalaTalksNICU 3 месяца назад

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!!!!

@aljoharaha7807 29 дней назад

Blesss u 😊

@TalaTalksNICU 28 дней назад

Thank you :))))

@syedmuzaffar2966 2 года назад

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

@TalaTalksNICU 2 года назад

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!!!

@minhajtabish 2 года назад

Amazing 👏👏

@TalaTalksNICU 2 года назад

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

@ngawanajerydel8571 2 года назад

thank you

@TalaTalksNICU 2 года назад

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

@latifamohammed9849 Год назад

Very useful information

@TalaTalksNICU Год назад

So glad you think so- thank you!

@freedaboyoung3722 Год назад

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 Год назад

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

@freedaboyoung3722 Год назад

@@TalaTalksNICU yes!!!

@AshishPriyadarshi-jj4ib 7 месяцев назад

Can you cover eclampsia and preeclampsia?

@TalaTalksNICU 7 месяцев назад

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

@cecileaglae7643 2 года назад

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

@TalaTalksNICU 2 года назад

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 :)

@edmonduku9330 Год назад

well explained

@TalaTalksNICU Год назад

Thank you so much!!

@shabirdraayatmalla9 6 месяцев назад

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

@TalaTalksNICU 6 месяцев назад

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 года назад

Thanks

@TalaTalksNICU 2 года назад

Thank you for watching :)

@freedaboyoung3722 Год назад

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 Год назад

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.

@sumathybalaji5252 2 года назад

Nice video

@TalaTalksNICU 2 года назад

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

@mostafaabuollo9479 Год назад

thanks alot but why you dont talk about PpHn in idm

@TalaTalksNICU Год назад

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!