How should asymptomatic hypoglycemia be managed?
A. According to Clinical Protocol on Hypoglycemia from the Academy of Breastfeeding Medicine: • Continue breastfeeding (approximately every one to two hours) or feed expressed breast milk or breast milk substitute (approximately 10-15 ml/kg). According to ABMs Protocol on Supplementation, breast milk substitutes are recommended only if the hypoglycemia is unresponsive to frequent breastfeeding. • Recheck blood glucose concentration before subsequent feedings until value is stable. • If neonate is unable to suck, avoid intragastric feeding and begin intravenous therapy. Such an infant is not normal and requires a careful examination and evaluation in addition to more intensive therapy. • If enteral feeding otherwise is not tolerated, begin intravenous glucose infusion. Such an infant also is not normal and requires a careful examination and evaluation as well as more intensive treatment. • Intravenous therapy: 2 cc/kg of 10% glucose by bolus followed by a continuous infusion of 6-8 mg/k
