In discussing this issue with a colleague and friend,  who is a clinical
nurse specialist on maternity and an IBCLC and is presently revising the
hospital policy on hypoglycemia and breastfeeding where she works ( and not
on line right now),  her thoughts on oral glucose vs. IV glucose, based on
her thorough review of the current literature and evidence based practices,
are as follows:

"Yes you may get a "high" from D10W - that is what you want when faced with
hypoglycemia.....and yes donor milk is the best..... but don't knock D10W.
Less chance on sensitization, and once you get the "high" then the idea is
that this "high" will help the baby to nurse and get his/hers MOTHER's
colostrum.

I understand that the preference for IV glucose is that you can "drip" it
in slowly, but giving it orally rather than IV is less invasive, and may
achieve the same goal: normoglycemia.  Let's not give up on oral glucose
just because it was misused as a jaundice treatment.  I think it can have
its place if we are able to "think out of the box". "

Maureen Fjeld IBCLC
Calgary, AB, Canada

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