Pediatric endocrinology

Physiology and diagnostic potential of beta-hydroxybutyrate in neonatal glycemia—a prospective cohort study

J Clin Endocrinol MetabPublished Prospective cohort study

Authors' conclusion

Neonates with hypoglycemia risk factors and those receiving formula developed less ketonemia.

Study context

Population
Neonates with and without hypoglycemia risk factors, single-centre tertiary hospital, 05/2020–09/2022516 with BOHB at ≥24 h
Participants
895 neonates
Exposure
Neonates with vs without hypoglycemia risk factors; feeding regimens
  • At-riskn = 752
  • Controlsn = 143reference
Outcome
Comparison of BG and combined BG + BOHB values and percentiles across risk factors and feeding regimens; ketonemia defined as BOHB >0.5 mmol/L
Methodological detailssingle-centre, tertiary hospital, standardized blood glucose (BG) and BOHB measurements
  • Single-centre
  • Tertiary hospital
  • Standardized BG and BOHB measurements

Main finding

As reported in the abstract

Ketonemia (BOHB >0.5 mmol/L) · ≥24 hours of age

P = 0.023

Ketonemia overall among 516 neonates with BOHB at ≥24 h
107 (20.7%)

Observational data: associations, not effects.

Further findings

Ketonemia by feeding regimen · ≥24 hours of age

P < 0.001

Original publication

Physiology and diagnostic potential of beta-hydroxybutyrate in neonatal glycemia—a prospective cohort study. J Clin Endocrinol Metab. Published 27 July 2026. doi:10.1210/clinem/dgag300

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