Scientific Programme & Abstracts from the International Meeting in Pediatric Endocrinology (IMPE)

impe0096fc2.1 | Fetal and Neonatal Endocrinology | IMPE2023

Increased catecholamines link fetal stress or growth restriction and neonatal hyperinsulinemic hypoglycemia: a prospective cohort study

Hoermann Henrike , van Faassen Martijn , Roeper Marcia , Hagenbeck Carsten , Herebian Diran , C. Muller-Kobold Anneke , Dukart Juergen , P. Kema Ido , Mayatepek Ertan , Meissner Thomas , Kummer Sebastian

Background: Perinatal stress, fetal growth restriction (FGR) or being small for gestational age (SGA) poses a high risk for neonatal hypoglycemia. The exact pathomechanism is unknown. In an animal model, increased levels of catecholamines were found in FGR sheep, causing β-cell adaptation with suppressed intrauterine insulin secretion, subsequently resulting in a hyper-responsive insulin secretion once the adrenergic stimulus subsides, e.g. after birth. W...