Defined as a BGL < 2.6 mmol/L

Aetiology

Contributing factors

• Preterm
• Small for gestational age
• Low birth weight (<2.5kg)
• Infants of diabetic mothers
• Hypothermia
• Feeding
• Infection/sepsis
• Neonatal abstinence syndrome

Clinical features

• Lethargy
• Jitteriness
• Seizure activity

Management

• Early feed and keeping baby warm (36.6℃ - 37.2℃) helps prevent hypoglycaemia
• If safe to feed hypoglycaemic baby enterally, feed and assess (and repeat)
• If unsafe to feed baby requires IV glucose
• If recurrent - hypoglycaemia screen (when BM < 2.6)