Tag Archives: hypoglycemia

Lower versus Traditional Treatment Threshold for Neonatal Hypoglycemia: No Difference Between the groups at 18 months of Age, Awaiting Long-term Outcomes

An EBNEO Review on 18-month neurodevelopmental outcomes of lower- versus traditional-threshold plasma glucose treatment in neonates with hypoglycemia has found that “one aspect that distinguishes this study from others was its unique clinical design”. It also found that, “There were … Continue reading

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Translation into Practice: Dextrose Gel Treatment for Neonatal Hypoglycemia to Reduce NICU Admissions and Increase Breastfeeding Exclusivity

Oral dextrose gel is an evidence-based treatment that has been shown to reduce NICU admissions and support exclusive breastfeeding. The authors summarise a knowledge translation project to introduce dextrose 40 percent oral gel to treat hypoglycemia or hyperglycemia. Implementation took … Continue reading

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Threshold blood glucose intervention for neonates at risk for hypoglycemia

A precise blood glucose threshold for intervention in neonates at risk for hypoglycemia that prevents poor neurodevelopmental (ND) outcomes is unknown. In a recent, multicenter trial of almost 700 otherwise healthy newborns born at ≥35 weeks of gestation and who … Continue reading

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The red hat pathway: reducing avoidable NNU admissions for hypoglycaemia

Although untreated neonatal hypoglycaemia may be a cause of long-term harm, anticipatory management of at-risk babies (eg with thermoregulation and feeding support) can prevent many unnecessary admissions. Staff at the NNU at Evelina London Children’s Hospital implemented the ‘red hat … Continue reading

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Glucose Gel as a Treatment Strategy for Transient Neonatal Hypoglycemia

Transient asymptomatic neonatal hypoglycemia (TANH) is common as infants transition from their mother’s energy stores to their own. There is little evidence supporting the blood glucose threshold that indicates a need for treatment although sustained hypoglycemia has been correlated with … Continue reading

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Are Black babies at a higher risk of hypoglycaemia?

In this study Tamarra James-Todd, from the Harvard T.H. Chan School of Public Health, led a team of researchers looking into whether different races have a greater risk of developing hypoglycaemia (low blood sugar) when they are born prematurely. The … Continue reading

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Using Dextrose (Glucose) Gel to Reverse Neonatal Hypoglycemia

Abstract Hospitals are challenged to implement measures to improve health outcomes, decrease costly interventions, and increase patient satisfaction. By following a nurse-driven protocol, our institution has successfully met these three challenges in our treatment of newborns diagnosed with neonatal hypoglycemia … Continue reading

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Transient Neonatal Diabetes Mellitus: A Challenge and Opportunity for Specialized Nursing Care

Abstract Transient neonatal diabetes mellitus (TNDM) is a rare disorder, with a reported incidence of approximately 1 in 450,000 live births. It is characterized by insulin-requiring hyperglycemia in the neonatal period. The disease improves by early childhood, but the patient … Continue reading

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