Neonatal Hypoglycemia



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Neonatal Hypoglycemia
  • Notify pediatric hospitalist
  • Feed 5ml/kg
  • Repeat BG in 1hr
  • Feed 5ml/kg
  • Repeat BG in 1hr and before next feed
Inclusion Criteria
  • Asymptomatic
  • LGA
  • SGA
  • Infant of mother with diabetes mellitus or gestational diabetes
  • 0-24hr of life
Exclusion Criteria
  • Signs of underlying metabolic/endocrine diagnosis
  • Symptomatic
  • >24hr of life
  • Continue with feeds q2-3hr
  • Repeat BG prior to next feeding

Notify pediatric hospitalist for ICN admission

  • STAT serum glucose
  • Place PIV
  • 2-3ml/kg dextrose 10% bolus IV
  • Start D10 IV infusion
  • Repeat BG in 1hr

  • Initial feed within 1 hour
  • Initial blood glucose (BG) 30min after first feed, or within 1hr of life if unable to feed

Discuss with pediatric hospitalist or neonatologist




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