HYPERGLYCAEMIA IN PRETERMS

Usually iatrogenic when glucose infusions exceed 10mg/kg/hr. Baby rapidly become dehydrated and will be noted to pass a lot of urine.

Management

  • Reduce infusion rate to 6–8mg/kg/hr.
  • Monitor blood sugar 3-hourly.
  • Rarely insulin therapy, as in neonatal diabetes, may be needed.