Aymen Eshene Posted January 10, 2015 Share Posted January 10, 2015 hello every one regarding the initiative from AAP , STABLE program , i know its designed mainly for (pre-transportation/ post resuscitation) of sick infant .. S point for sugar .. so if newly delivered baby was sick and resuscitated , its not uncommon to have low blood sugar in the first hour of life , and usualy we dont intervene to correct sugar immediatly after birth as long as its above 25mg/dl . so anyone have idea about at what level i should manage ? is i go strictly with STABLE program??? thanks 1 Link to comment Share on other sites More sharing options...
Stefan Johansson Posted January 12, 2015 Share Posted January 12, 2015 My opinion - I would def react and treat hypoglycemia after resuscitation. My experience is rather that sick infants often have elevated blood glucose initially, due to high stress, and then go low when the stress response diminishes. If the level of hypoglycemia is not defined in the STABLE programme, my suggestion is to go with your regular definition. We consider levels below 2.6 mmol/L (i.e. ≈45 mg/dl) as hypoglycemia (the 1st day of life). 1 Link to comment Share on other sites More sharing options...
yuriyko Posted January 14, 2015 Share Posted January 14, 2015 We consider hypoglycemia below 2.6 mmol/L and the mode of action depends on the condition of the child (seizures,excitation, ability to receive oral feedings etc). Link to comment Share on other sites More sharing options...
Ruth Posted January 15, 2015 Share Posted January 15, 2015 There is a physiological dip in glucose immediately after birth but this should be normal by 1 hour. So if the dextrose is low at one hour you should manage it. The practice appears to be treating hypoglycaemia earlier. Some centres are even suggesting 3.0mmol/l. If I remember correctly STABLE is teaching 2.8? Currently we still treat less than 2.5mmol/l Link to comment Share on other sites More sharing options...
Recommended Posts
Create an account or sign in to comment
You need to be a member in order to leave a comment
Create an account
Sign up for a new account in our community. It's easy!
Register a new accountSign in
Already have an account? Sign in here.
Sign In Now