TREATMENT OF HYPOGLYCAEMIA

FOR NEONATES
ASYMPTOMATIC HYPOGLYCAEMIA if BLOOD GLUCOSE
30 min
every every every
2-3 h 2-3 h 2-3 h
LEVEL IS NORMAL
3 TIMES IN A ROW
CHECK
BIRTH
BLOOD

< > OD GLUCOSE
OD BLO COSE
BLO COSE
U GLU FEED
GL STOP SCHEDULED
<45 <60 IMMEDIATELY
Check blood glucose level prior to feeding
mg/dL mg/dL MONITORING
<2.5 mmol/L <3.3 mmol/L
If SYMPTOMS If BLOOD GLUCOSE LEVEL IS
develop follow NOT NORMAL 3 TIMES IN A ROW

warm if hypothermic
guidance for =
SYMPTOMATIC RECURRENT/PERSISTENT HYPOGLYCAEMIA
HYPOGLYCAEMIA

&
GIVE START IV fluids containing 10%
SYMPTOMATIC HYPOGLYCAEMIA 10% GLUCOSE IV glucose at 4-6 mg/kg/min
signs of
• lethargy
2 ml/kg Bolus (60-80mL/kg/DAY)
• pallor • jitteriness
• hypotonia • temperature instability +
• poor feeding • sweating GIVE Consider
10% GLUCOSE IV Investigate
• irritability • apnoea antibiotic
• cyanosis 2 ml/kg Bolus cause
treatment
or
SEVERE HYPOGLYCAEMIA
RECORD all blood glucose levels
& changes to IV fluids IN THE PATIENT
OD
BLO COSE CHART

Check temperature
GLU
<35mg/dL if Blood Glucose
<2 mmol/L See NEONATAL GUIDELINES
CHECK is
STILL for further management
30 min BLOOD
GLUCOSE NOT NORMAL

©MSF-OCB-revMarch2022-Neonatal Care: Clinical & Therapeutic Guidelines - Graphic Design: A.Filot