----- Original Message ----- 
From: "Kathleen Bruce" <[log in to unmask]>
To: <[log in to unmask]>
Sent: Thursday, September 02, 2010 4:49 PM
Subject: Glucose continued


>A defined risk group, (LGA, SGA, post dates, I think, pre term, or on and
> on...). This comes to a lot of babies, however,...in my experience...as I
> see a zillion heel sticks on the little feet I am seeing in my practice. I
> usually work in private practice, but do work per diem in a hospital as an
> RN and sometimes  LC ... Today I was in the hospital as a patient for a
> colonoscopy. May I vote for you all over 50 who either have history, or 
> are
> symptomatic, to be tested according to your doctor's recommendation. 
> Again
> this is different in different cultures/countries. I think Rachel might 
> live
> in the glorious country of Norway where there is a glorious (in my head
> today, anyhow) no routine colonoscopy policy I would have had to have it
> anyhow, but I am safe and sound and all is well, just to report.  A little
> weird from medication. '
>
>
> Back to the discussion on bf and hypoglycemia. We are having a problem iat
> times in that the babies that are sometimes asymptomatic, but which are in
> the first 24 hours of life and fit the criteria, ie pre term, LGA, etc, 
> are
> tested until they have three over 50, and sometimes, they flip flop aboe 
> and
> below 50, and we have to start again if there are not three consecutive
> numbers.  We need to get these babies breastfeeding, and watch them for
> acute symptoms, and keep them skin to skin, and with their mothers...and 
> at
> breast. Sometimes we have good luck hand expressing colostrum and spoon
> feeding it to those very sleepy babies who will not or cannot at that 
> moment
> latch. The more the baby gets in, the better they latch ( as their sugars
> rise and they become more alert and awake).  Anyhow, I just want to know
> what the science is here, and what the numbers should be based on.. ? I
> wonder how many times we did not take a snapshot of the glucose in the 
> past
> years, and how many babies may be been lower than 50, above 40, and doing
> just fine? I mean, what is the number we should worry at? Or is that a
> combined thing with symptomatology?   And, is a heel stick as accurate as 
> a
> blood level drawn by venipuncture?  Kathleen
>
>
> Kathleen Bruce RN BSN IBCLC
> Lactation Resources of Vermont, Listowner /OriginatorLactnet 1995
> [log in to unmask]  http://www.kbbspin.org
>
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