In a message dated 1/25/00 10:46:24 AM Eastern Standard Time,
[log in to unmask] writes:

<< Laura,  how can you guys get a sugar above 40 with no feeds?  Our policy is
 similar, first test is only done on LGA, SGA, or moms with DM, if 40 or lower
 we retest till above 45, but they immediatly get fed.  If mom is
 breastfeeding we allow that IF it is a successful feed, usually we let one
 feed occur- and count it-even a marginal one and then recheck level after the
 feed, still low...we supplement.  Our testings are done with ISTAT and sent
 to central lab if below  30.

 Cheryl Parrott BSN >>

I guess I wasn't very clear. We do feed the baby immediately & retest within
30 min. Then before the next 3 feedings, we do another Accuchek . I believe
we use the Accuchek III machine because it is calibrated & OK'd for use in
the neonate.  I like your method of breastfeed, then recheck. Our docs/nurses
tend to want to supplement 1st, then allow breastfeeding but often encourage
supplementing "so that the baby doesn't end up with an IV."

Laura Hart
Winter Park FL-where it has been cold the last couple of days-low in the 30's
& high in the 50's .

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