What is the best approach to screening for hypoglycemia in normal newborn infants?
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Hypoglycemia is defined as a plasma glucose level (PGL) less than the fifth percentile. Fifth percentile values in normal term newborns are 28, 40, and 48 mg/dL at 1 to 2, 3 to 47, and 48 to 72 hours of life, respectively (SOR: B, meta-analysis of observational studies). However, blood glucose screening is not required in healthy term newborn infants, and blood glucose concentrations should be measured only in term infants who have clinical signs of hypoglycemia or who are considered “at risk” (SOR: C, practice guidelines).
Evidence Based Practice 15(12): 30.