Dextrose gel to manage hypoglycemia

A single-center observational (pre-post) study reported outcomes of treatment of neonatal hypoglycemia before and after a practice change was implemented. Compared to hypoglycemic infants treated with feed supplementation alone (prior to the practice change), infants treated with dextrose gel in addition to feed supplementation (following the practice change) had a lower rate of NICU admission for treatment of hypoglycemia (14% vs 29%), but a higher rate of recurrence of hypoglycemia after normoglycemia (glucose level of 47 mg/dL or higher) was achieved (49% vs 31%).

Implementation of dextrose gel in the management of neonatal hypoglycemia. Ter et al, 2016