A 3.8 kg baby of a diabetic mother developed seizures 16 hours after bih. The most probable cause would be

The neonate has seizures developed at around 16 hrs after bih. There are two possibilities in this neonate i.e. hypoglycemia and hypocalcemia. Hypoglycemia in first 18-36 hrs is usually due to transient neonatal hypoglycemia and after 36 hrs metabolic and other causes are likely. Hypoglycemia develops in about 25-50% of infants of diabetic mothers and 15-25% of infants of mothers with gestational diabetes, but only a small percentage of these infants become symptomatic.