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Date: | Tue, 6 Apr 1999 06:44:47 -0400 |
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I have little to add to what Carol and Nancy said, but I would suggest that
*if the baby is symptomatic*, an IV is not just preferable, but actually the
only reliable treatment. It is faster, and the sugar levels rise more
reliably. In most cases the IV does not have to be there a long time, and
it allows the baby to start breastfeeding if he can, or to get appropriate
milk to him if he cannot.
I think the use of glucose water by mouth is fine. It is rapid intravenous
pushes of glucose without a maintenance that is likely to cause rebound
hypoglycemia. Rebound from oral glucose? I doubt it.
Jack Newman, MD, FRCPC
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