Table 1 Recommendations for the management of neonatal hypoglycemia

1. Buccal dextrose gel should be considered as part of a strategy for managing asymptomatic neonates with low glucose concentrations.

2. For asymptomatic neonates with low glucose concentrations requiring intravenous dextrose, bolus glucose infusions may be replaced by simply starting the patient on a continuous dextrose infusion.

3. Continuous glucose monitoring should be considered in research protocols to assess the benefits and risks of different glycemic patterns for outcomes.