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Management of Asymptomatic Hypoglycemia With Dextrose Oral Gel at 40% in Near Term at-risk Infants to Reduce Intensive Care Need and Promote Breastfeeding by Fabio Meneghin; Martina Manzalini; Miriam Acunzo; Irene Daniele; Petrina Bastrenta; Francesca Castoldi; Francesco Cavigioli; Gian Vincenzo Zuccotti; Gianluca Lista is a scholarly article available to read on EtoBox.

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## Abstract Background: Neonatal hypoglycemia is a common disorder especially in at-risk infants and it can be associated with poor long-term neurological outcomes. Several therapeutic interventions are suggested, from the implementation of breastfeeding to the glucose intravenous administration. Oral dextrose gel massaged into the infant’s inner cheek is a recent treatment option of asymptomatic hypoglycemia, after which oral feeding is encouraged. This approach seems to reduce the admission of infants to neonatal intensive care unit (NICU) so favouring maternal bonding and breastfeeding success at discharge. Methods: In our unit we recently implemented the protocol for the management of asymptomatic hypoglycemia with the introduction of dextrose oral gel at 40%. Therefore we compared two cohorts of near term at-risk infants with asymptomatic hypoglycemia: a historical group managed with our old protocol and the second one prospectively followed after the introduction of dextrose gel at 40%. Results: Primary outcome was occurrence of NICU admission and glucose intravenous needs; breastfeeding success was the secondary outcome. Infants in the dextrose oral gel group showed statisti

Author

Fabio Meneghin; Martina Manzalini; Miriam Acunzo; Irene Daniele; Petrina Bastrenta; Francesca Castoldi; Francesco Cavigioli; Gian Vincenzo Zuccotti; Gianluca Lista

Publisher

Research Square Platform LLC

Published

2021

Language

EN