I am not a nurse.  But why are the glucose checks done before feeds?
Wouldn't it make a lot more sense to do it after feeds?  I know one of the
ways that I seem to know I am hungry is if my blood sugar drops.  If the
nursing raises the blood sugar than no intervention would be needed.  What
happened to "First do no harm"?

Curious in Phoenix

-----Original Message-----
From:   Lactation Information and Discussion
[mailto:[log in to unmask]] On Behalf Of Laura Hart
Sent:   Friday, November 06, 1998 8:19 PM
To:     [log in to unmask]
Subject:        Re: comparing NB nurseries


Our hypoglycemic protocol requires babies with blood glucose (accuchek) less
than
40 to have central blood glucose drawn & accucheks done prior to feeds until
3
consecutive blood glucose readings are 45 or above. Babies are usually
required to receive supplemental abm feeds while on protocol. If a follow up
accuchek is less than 40 the baby is placed on IV fluids & fed abm until
sugars are stable & baby is able to wean from IV glucose.

I'll be interested  to hear what others are doing.

Laura Hart, RN, BSN, CCE, IBCLC