Amrita S. Nayak, MD
Academic Faculty Appointments
Assistant Professor of Pediatrics, SUNY Stony Brook School of Medicine
259 First St, Mineola NY 11501
Amrita Nayak, MD, is an attending Neonatologist at Winthrop University Hospital. Dr. Nayak graduated from Kasturba Medical College, India, and completed 1 year of internship at King Edward Memorial Hospital, Mumbai, India. She completed her Pediatrics residency at Maimonides Medical Center and her fellowship in Neonatal-Perinatal Medicine at the Maria Fareri Children's Hospital at Westchester Medical Center. She is board certified in Pediatrics and Neonatal Perinatal Medicine. During fellowship Dr. Nayak focused her research on neonatal hypoglycemia and infants of diabetic mothers. She has presented her work at national conferences including the PAS and ESPR meetings. After completing her fellowship, Dr. Nayak joined the NICU faculty at Mercy Medical Center, Long Island. In August 2009 she came to Winthrop University Hospital. She is actively involved in resident education and is currently a NRP instructor. Currently, she would like to pursue her interest in hypoglycemia in neonates and find effective ways of maintaining euglycemia without administering intravenous glucose in hypoglycemic infants.
Description of Research Interests/Activities
Hypoglycemia is a major public health problem since asymptomatic hypoglycemia is not only frequent, but recurrent hypoglycemia itself can induce counter-regulatory system failure and unawareness during subsequent episodes, creating a vicious cycle. Defective releases of counter-regulatory hormones is also seen in normal pregnancies. Pregnancy-related effects are made worse by maternal diabetes. Maternal diabetes is not only a disease of glucose metabolism, but in fact, all aspects of maternal nutrient metabolism are affected resulting in congenital malformations and macrosomia. Postnatally, infants of diabetic mothers suffer from glucose counter regulation failure that may even last well into adulthood. Approximately 4-6/ 1000 deliveries in US and Europe are born to mothers with some class of diabetes mellitus (1%). Infants of diabetic mothers pose a major challenge to healthcare, given by the fact that a good number of babies admitted to level 2 and 3 Neonatal units are IDM. Infants of diabetic mothers are large for gestational age and typically difficult to get intravascular access. Hence sometimes it takes more than a few attempts before access can be obtained, delaying the correction of hypoglycemia, increasing complications of hypoglycemia and increasing parental and nursing anxiety. Hypodermoclysis, the subcutaneous infusion of fluids, is an easy technique to administer dextrose. This method has been approved in pediatric ER for administration of fluids for dehydrated patients. Dr. Nayak's interest is in administering dextrose to hypoglycemic infants to correct low sugars without having to insert an IV access. Dr. Nayak is also interested in studying donor breast milk for premature infants and its long term benefits.
Areas of Experience