Current Paediatrics
Volume 13, Issue 2 , Pages 134-139, April 2003

Management of hypoglycaemia in the newborn

  • N.D. Embleton (Specialist Registrar in Neonatal Medicine)
    • ,
  • M.P. Ward Platt (Consultant Paediatrician in Neonatal Medicine and Senior Lecturer in Child Health)

      Affiliations

Newcastle Neonatal Service, Department of Child Health, Royal Victoria Infirmary, Newcastle upon Tyne, NE1 4LP, UK

Abstract 

Although there is no firm empirical evidence base for the management of neonatal hypoglycaemia, an understanding of the underlying physiology and pathophysiology of fuel metabolism in the newborn enables a rational approach to be taken. In this paper, we outline the process of neonatal metabolic adaptation; address the problem of measuring blood glucose and defining hypoglycaemia; consider those babies in whom measurement should be done routinely and the timing of this; and evaluate the various approaches that can be taken in the primary and secondary prevention and management of hypoglycaemia, and its investigation when appropriate.

Keywords: Hypoglycaemia, newborn, metabolism

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  • f1 Correspondence to: MPWP. Tel: +44(0) 191 282 5197; E-mail: m.p.ward-platt@ncl.ac.uk

PII: S0957-5839(02)90427-6

doi:10.1054/cupe.2002.0427

Current Paediatrics
Volume 13, Issue 2 , Pages 134-139, April 2003

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