Presentation Information

New directions in blood glucose management

• Speaker: Dr. Martin Ward Platt , MB, ChB, MD, FRCP, FRCPCH
• Presentation Type:
• Duration: 60 Mins
• Credits: 1 CERP, 1 Nursing CEU, 1 CME, .1 Midwifery CEU

Abstract:

The idea of glucose as the sole metabolic fuel for the neonatal brain is still over-emphasised, in spite of long standing animal and human research that shows the relevance of other metabolic fuels such as lactate and ketones. Furthermore, innovative approaches to treating hypoglycaemia with buccal glucose have shown promise in well conducted randomised trials. In view of the wide availability of simultaneous near-patient blood glucose and lactate analysis, it is now possible to move away from simplistic assessments of blood glucose alone in day to day clinical management. However the clinical assessment of neurological status remains central to the evaluation of babies who are at increased risk of fuel deficiency, and ultimately determines which babies should be subjected to any measurements.