Our Hypoglycemia policy states that infant is to go to breast for a low blood sugar (40 is our low number). Also, a serum glucose is supposed to be drawn to verify the D-stix of 40 or below. This is not always done. Some nurses and docs rush to give formula. If I am notified of the low blood sugar, I help with a feeding and also try to get some EBM to give additionally.
Kris Nilson BSN RN IBCLCWINN Army Community HospitalFt. Stewart, G A
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Subject: LACTNET Digest - 28 Nov 2015 to 29 Nov 2015 (#2015-444)
There are 4 messages totaling 170 lines in this issue.
Topics of the day:
1. blood sugars again (3)
2. LPI policies for NICU
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Date: Sun, 29 Nov 2015 11:05:22 -0500
From: [log in to unmask]
Subject: blood sugars again
I did not receive any responses to my question about blood sugars, so I will phrase it differently. For those who work in the hospital setting, can you tell me what hospital policy is for ordering formula supplementation for low blood sugar? Are moms given a chance to breastfeed or hand express first? When supplementation is ordered, what volumes are being given? Is there any evidence that volume of supplement has an effect on lowering blood sugar?
Beth Lichy, IBCLC
Maryland, USA
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Date: Sun, 29 Nov 2015 11:14:22 -0500
From: Margaret Sabo Wills <[log in to unmask]>
Subject: LPI policies for NICU
This website is a wealth of information, with toolkits and protocols
https://www.cpqcc.org/
Margaret Wills,IBCLC
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>
> Date: Sat, 28 Nov 2015 15:16:07 +0000
> From: Dawn Staudt-Vanek <[log in to unmask]>
> Subject: LPI POLICIES
>
> I'm an in-house LC at Renown hospital in Reno. We are working on revising our "at risk" or later pre-term, SGS, LGA policeis. Would any of you be willing to share your institiution policies? I'd so appreciate it. You can private email me at [log in to unmask] Thank you, Dawn Staudt-Vanek BSN, IBCLC
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Date: Sun, 29 Nov 2015 09:45:37 -0800
From: Melinda <[log in to unmask]>
Subject: Re: blood sugars again
I was unable to access protocols/ tool kits from site Margaret mentioned.
These are great questions. I would love to find an algorithm for all the variables one might see such as gestational age, LGA and other risk factors, feeding method and ability, and if symptomatic.
I work in a level 1, and our protocol is to treat if sugar less than 40, but some Peds want to raise the minimum to 50!
I hope we see many responses from this group.
Melinda Harris- Moulton
Olympia, WA
Sent from my iPad
> On Nov 29, 2015, at 8:05 AM, [log in to unmask] wrote:
>
> I did not receive any responses to my question about blood sugars, so I will phrase it differently. For those who work in the hospital setting, can you tell me what hospital policy is for ordering formula supplementation for low blood sugar? Are moms given a chance to breastfeed or hand express first? When supplementation is ordered, what volumes are being given? Is there any evidence that volume of supplement has an effect on lowering blood sugar?
>
> Beth Lichy, IBCLC
> Maryland, USA
>
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Date: Sun, 29 Nov 2015 14:28:30 -0500
From: Sonya Shaver <[log in to unmask]>
Subject: Re: blood sugars again
Hi Beth,
Are you talking about healthy, full-term infants? Or just asking this
question in general for any situation? Have you seen the protocol from the
Academy of Breastfeeding Medicine?
http://www.bfmed.org/Media/Files/Protocols/HypoglycemiaEnglish922.pdf
There is a lot of good information in there, and you might go through the
references list, too, if you don't find your question answered.
Hope that helps,
Sonya
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End of LACTNET Digest - 28 Nov 2015 to 29 Nov 2015 (#2015-444)
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