When should you give D10 and Glucagon to a newborn?

When should you give D10 and Glucagon to a newborn?

• A. BgL <60 mg/dL
• B. BgL <40 mg/dL
• C. BgL <50 mg/dL
• D. BgL <70 mg/dL

Answer: (B)

Newborn hypoglycemia must be treated quickly to protect brain function. The threshold used to trigger treatment with D10 and, if needed, glucagon is a blood glucose level below 40 mg/dL. When BgL is under 40, give IV dextose 10% (a bolus) to raise glucose rapidly. If IV access isn’t available or glucose remains low after the dextrose bolus, administer glucagon (typically IM) to mobilize stored glucose from the liver. Recheck glucose after about 15 minutes and repeat per protocol as needed. This threshold matters because values at or below 40 mg/dL are associated with neurodevelopmental risk if not corrected promptly, whereas higher values do not require this specific rapid treatment sequence.

Newborn hypoglycemia must be treated quickly to protect brain function. The threshold used to trigger treatment with D10 and, if needed, glucagon is a blood glucose level below 40 mg/dL. When BgL is under 40, give IV dextose 10% (a bolus) to raise glucose rapidly. If IV access isn’t available or glucose remains low after the dextrose bolus, administer glucagon (typically IM) to mobilize stored glucose from the liver. Recheck glucose after about 15 minutes and repeat per protocol as needed.

This threshold matters because values at or below 40 mg/dL are associated with neurodevelopmental risk if not corrected promptly, whereas higher values do not require this specific rapid treatment sequence.