Hypoglycaemia

This is defined as a Glucose level < 2.5 mmol/L.

Always properly attend to babies with:

• Risk factors for hypoglycaemia e.g. GDM

• S+S of hypoglycaemia (see below)

• Persistent or refractory hypoglycaemia

Presentation - Hypotonia, Lethargy, Poor feeding, Hypothermia, Apnoea, Pallor

Management

• Encourage effective feeding

• Buccal 40% glucose gel 200mg/kg if 1-1.9 mmol/L

• Bolus IV 10% glucose 2.5ml/kg if < 1mmol/L, then start infusion at 90ml/kg/day