Jane E Harding|Deborah L. Harris|Joanne E Hegarty|Jane Alsweiler|Christopher J. D. McKinlay
An emerging evidence base for the management of neonatal hypoglycaemia
University of Auckland|University of Auckland|Waikato Hospital|University of Auckland|Auckland City Hospital|University of Auckland|Auckland City Hospital|University of Auckland|Counties Manukau District Health Board
neonatal hypoglycaemia common screening treatment babies considered risk widespread despite little reliable evidence upon base management decisions although evidence babies greatest risk threshold diagnosis best approach treatment later outcomes remain uncertain recent studies suggest treatment dextrose gel safe effective may help support breast feeding thresholds intervention require wide margin safety light information babies glycaemic instability low glucose concentrations may associated higher risk later higher order cognitive learning problems randomised trials urgently needed inform optimal thresholds intervention appropriate treatment strategies