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Brain injury as a result of significant neonatal hypoglycemia has been recognized for many years. Recently, several case reports from around the world have documented that neonatal hypoglycemia in term infants can result from inadequate intake related to breastfeeding. 1 Clinical manifestations can vary from no symptoms, to hypotonia and lethargy, to seizures. 2 The blood glucose level and duration of hypoglycemia that lead to neurodevelopmental sequelae have not been established. 3 For manydoi:10.1542/hpeds.2015-0086 pmid:26330250 fatcat:w4rcuilbp5a2fecs5gk2aowmc4