We have a fairly liberal policy on how long a healthy, full-term baby  
can go before supplementation is indicated. We do blood sugars if  
there has ben no feed by 12 hours or if the baby has gone 12 hours  
since a feed, and then at 24 hours we are supposed to call the dr. I  
want to refine this policy a little though, incorporating the recs.  
of the new hypoglycemia policy from ABM.

My question is - are there any studies that help differentiate the  
baby who is merely having a prolonged "sleepy" period from the baby  
who is lethargic, refusing to feed and may be hypoglycemic?

Andrea Tran RN, IBCLC
Erie/Boulder, Colorado

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