GLUCOSE MONITORING

FOR AT RISK NEWBORNS*

*AT RISK AT BIRTH

if • Birthweight <2500 g​
SIGNS OF • Prematurity (Gestational age < 35 weeks)​
• Macrosomic baby (BW > 4000 g)​
HYPOGLYCAEMIA • Infant of a diabetic mother​
<2 h 12 h
• Baby born to a mother treated with labetolol or propranolol​
every every every • Perinatal asphyxia​
3-4 h 3-4 h 3-4 h
BIRTH
CHECK CHECK CHECK CHECK CHECK
GLUCOSE GLUCOSE GLUCOSE GLUCOSE GLUCOSE *AT RISK IN GENERAL

• Sick newborn (perinatal asphyxia, NEC, sepsis, malaria etc.)​

• Hypothermia​
• One or multiple previous episodes of hypoglycaemia ​
• Change in feeding status or infant made NPO

Check blood glucose level prior to feeding

 RECORD
 all blood glucose levels & changes to IV fluids
BLOOD GLUCOSE LEVEL GOAL IN THE PATIENT CHART

IF Blood Glucose
First 48 hours of life Level is:

Check till GLUCOSE is NORMAL <45mg/dL

< ≥45mg/dL 3 TIMES IN A ROW  <2.5mmol/L
TREAT
After 48 hours of life for
Check till GLUCOSE is NORMAL <60mg/dL HYPOGLYCAEMIA
> ≥60mg/dL 3 TIMES IN A ROW  <3.3 mmol/L

©MSF-OCB-September 2021-Neonatal Care: Clinical & Therapeutic Guidelines - Graphic Design: A.Filot