Added sugar early neonatal hypoglycemia

Prevention is the treatment of neonatal hypoglycemia on the easy to monitor blood glucose regularly, add syrup or intravenous rehydration early to ensure enough heat and keep warm.

Blood glucose less than 2.5mmol / L, even if asymptomatic, should start treatment. To be administered orally or nasogastric feeding 10% glucose solution, each 2 ~ 6ml, once every 2 hours until the blood sugar level stable. If blood sugar is still not rise to within a static 10% glucose infusion.

To have symptoms should be intravenous infusion of glucose solution, the first dose of 10% to 15% with glucose 5 ~ lOml / kg, then 10% glucose, daily 60 ~ 80ml/kg, or the rate per minute 5m1/kg glucose infusion to maintain blood glucose level 2.2mmol / L or more. After switching to 5% glucose solution, and gradually reducing.

Severe low blood sugar glucose per minute required to fast input 15 ~ 20mg/kg, such as invalid can try adrenocorticotropic hormone, hydrocortisone intravenously daily 5mg/kg, or oral prednisone daily lmg / kg, the symptoms disappeared 24 to 48 hours. Can also be intramuscular glucagon injection daily 0.02 ~ 0.1mg/kg, every 4 hours to use their glycogen.

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