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One major difference between the 2 sets of guidelines is the goal blood glucose value in the neonate. This article reviews transitional and pathologic hypoglycemia in the neonate and presents a framework for understanding the nuances of the AAP and PES guidelines for neonatal hypoglycemia.
This clinical report provides a practical guide for the screening and subsequent management of neonatal hypoglycemia (NH) in at-risk late-preterm (34–36 6 7 weeks' gestational age) and term infants.
The goals of managing neonatal hypoglycemia are: To correct blood glucose levels in symptomatic patients (see "Pathogenesis, screening, and diagnosis of neonatal hypoglycemia", section on 'Clinical presentation') To prevent symptomatic hypoglycemia in at-risk patients.
Hypoglycemia occurs in 5% to 15% of neonates in the first few days. A significant proportion requires admission for intravenous fluids. Dextrose gel may reduce admissions and mother-infant separation. We aimed to study the utility of dextrose gel in reducing the need for intravenous fluids.
This clinical report provides a practical guide for the screening and subsequent management of neonatal hypoglycemia (NH) in at-risk late- automatically expire 5 years after publication unless reaffirmed, revised, or retired at or before that time. BACKGROUND. PEDIATRICS (ISSN Numbers: Print, 0031-4005; Online, 1098-4275).
Section 1: Which Neonates, Infants, and Children to Evaluate for Hypoglycemia. 1.1. For children who are able to communicate their symp-toms, we recommend evaluation and management only of those in whom Whipple’s triad (see below) is documented. GRADE 1++++. 1.2.
The most recent AAP guidelines recommend screening for late preterm and term infants that experience symptoms of hypoglycemia, and asymptomatic infants at highest risk for hypoglycemia in the first 12 to 24 hours of life.
Target BGL > 2.6 mmol/L for babies younger than 72 h of age and BGL > 3.3 mmol/L for older ones. Target PG > 70 mg/dL (3.9 mmol/L) for neonates with a suspected congenital hypoglycemic disorder and older infants and children with a hypoglycemic disorder.
March 17, 2011 — The American Academy of Pediatrics (AAP) Committee on Fetus and Newborn has waged an opinion on neonatal hypoglycemia and produced a "practical guide and algorithm for the screening and subsequent management of neonatal hypoglycemia."
1) Providing two distinct guidelines—one for infants 0-48 hours and one for infants older than 48 hours of age. 2) Minimizing separation between mother and infant and supporting breastfeeding. This clinical practice guideline is primarily relative to the clinical management of hypoglycemia. Significant