Neonatal hypoglycemia guideline

Neonatal hypoglycemia guideline

Symptomatic

Risk for hypoglycemia DTX stat
-GA<37 wk
-Maternal GDM DTX <40 DTX ≥40
-SGA
-LGA
-BW < 2500 g or BW > 4000 g

no yes Confirm BS Find other
IV glucose cause
Encourage Early feed
breastfeeding within 1 hr <4hr DTX<25 DTX<25 BS+IV glucose
q 2-3 hr + DTX after Feed& DTX DTX25-40 Feed/IV glucose
feed 30 min within 1 hr

4-24hr DTX ≥40 Feed + DTX premeal
Until 12-24 hr

DTX<35 DTX35-45 DTX≥4
5
BS + IV Feed/IV
glucose glucose Feed + DTX premeal
Until 12-24 hr