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Glucose gel in preterm babies


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Apart from the fact that preterm babies less than 35 weeks were not included in the sugar babies study and also possibly may have swallowing issues, is there any other reason why glucose gel is not being used for preterm infants less than 35 weeks and is anyone of you recommending the use in preterm infants less than 35 weeks and upto what gestational age in case you are using?.

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The reason we use gel in term babies is to avoid admissions and transiently support feeds. On the other hand preterm <35wks is by default admitted to nicu so it doesn't make any sense to use gel in them plus you have to start IV D10w or formula NG feeds so gel has no role. 

Moreover gel is not 100% effective in preventing hypoglycemia same as vaccines are not 100% guaranteed. Having said that we use gels in terms because they have more glycogen reserves as compared to preterm and sustainability is more attainable in terms as compared to preterm.

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