Poorly Controlled Gestational Diabetes in Pediatrics — Case | Pediatric Endocrinology | SMLE Q#11412
SMLE Question #11412
Pediatrics
Pediatric Endocrinology
Objective: OBJ-173
Last updated: February 2026
A term male newborn is assessed at 2 hours of life for jitteriness and intermittent fine tremors. He was delivered vaginally without complications to a 29-year-old mother with poorly controlled gestational diabetes treated with insulin. The infant is awake and irritable; tremors increase with stimulation, and there are no focal neurologic deficits. Cardiorespiratory and abdominal examinations are normal, and there are no dysmorphic features. What is the most important initial investigation to order?
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