TABLE 30.

Hypoglycemia Prevention and Management

SourceLocation and Type of TrialInterventionPerinatal/Neonatal Outcome
Singhal et al507*India; urban hospital setting; RCT110 term SGA infants without complications were enrolled in the study. Infants in the intervention group (n = 55) received fortified feeds that were prepared by adding 1 sachet containing 1.5 g of powdered sugar to 30 mL of standard milk formula. Infants in the control group (n = 55) received standard milk formula.There was an 85% decrease in the incidence of hypoglycemia among newborn infants in the intervention group compared to controls (P < .01). No other morbidity was reported.
Singhal et al506*India; urban hospital setting; RCT130 term large-for-gestational-age infants without complications were enrolled in the study. Infants in the intervention group (n = 65) received fortified feeds that were prepared by adding 1 sachet containing 1.5 g of powdered sugar to 30 mL of standard milk formula. Infants in the control group (n = 65) received standard milk formula.There was a 77% reduction in rates of hypoglycemia among intervention group infants compared to controls. The incidence of hypoglycemia was reduced significantly (P < .05) by the sugar-fortified feeds. The mean blood sugar level in babies receiving fortified feeds was significantly (P < .001) higher at all ages as compared to those receiving standard feeds. No other morbidity was reported.
  • * Data are from the same trial.