How to treat low blood sugar in babies

If a baby's blood sugar is too low, then it needs to be taken seriously. After all, it will have an adverse effect on his health, because it can easily lead to feeding difficulties, abnormal voices, or convulsions, respiratory arrest and other symptoms. Therefore, as parents, you should pay attention to observe. If the blood sugar is low, then take the baby to the hospital in time to receive a glucose injection and limit protein intake.

1. If hypoglycemia symptoms occur during glucose infusion, 25% glucose solution 2-4 ml/kg (10% glucose solution 2 ml/kg can be used for premature infants) should be immediately injected intravenously at a rate of 1 ml/min. Then continue to drip 10% glucose solution at a rate of 3-5 ml/(kg?h); the glucose solution drip rate is 5-8 mg/(kg?min) to maintain normal blood sugar levels. If the hypoglycemia is caused by insufficient glycogen reserves (such as SGA children), or blood sugar cannot be maintained at normal levels, the glucose solution that is being dripped can be changed to 12.5% ​​to 15% glucose solution, which is infused at a rate of 8 to 10 ml/(kg?min). After blood sugar is >2.2mmol/L for 1-2 days, the drip of 5% glucose solution can be changed and then gradually stopped. Before blood sugar stabilizes, measure blood sugar at least once a day.

2. After 24 to 48 hours of infusion of sodium chloride and potassium chloride, the infused solution should contain the physiologically required amount of sodium chloride and potassium chloride.

3. Feed the baby promptly after the symptoms improve, and gradually reduce the input of glucose.

4. Hormone therapy: If the above method of glucose supplementation still cannot maintain blood sugar levels, hormone therapy can be added.

(1) Hydrocortisone: 5-10 mg/(kg/d), stop 24-48 hours after symptoms disappear and blood sugar returns to normal. Hormone therapy can be used for several days to 1 week.

(2) Glucagon: 0.1-0.3 mg/kg intramuscular injection, repeated after 6 hours if necessary.

(3) Epinephrine and growth hormone: only used to treat chronic refractory hypoglycemia.

5. Etiological treatment In addition, the primary disease should be actively treated. For example, patients with galactosemia should completely stop taking dairy products and replace them with lactose-free foods; infants with leucine allergy should limit protein intake; patients with glycogen storage disease should be breastfed day and night; patients with congenital fructose intolerance should limit the intake of sucrose and fruit juice, etc.

6. During other treatments, a certain ambient temperature must be maintained to reduce heat energy consumption and monitor blood sugar changes.