Neonatal Hypoglycemia
Conditions
Brief summary
The purpose of this study is to employ continuous glucose monitoring to measure glucose profiles in newborn infants.
Detailed description
We will place a continuous glucose monitor on the infant within 2 hours of birth and record blood glucose values every 5 minutes via the monitor; in addition, the infant will receive blood glucose checks via heel stick according to the standard hospital glucose monitoring protocol.
Interventions
Measurement of interstitial glucose
Sponsors
Study design
Eligibility
Inclusion criteria
* Mother at least 18 years of age * Infants born either appropriate for gestational age (AGA) or large for gestational age (LGA) * Skin fold over superior gluteus area at least 1 inch in thickness as measured by skin calipers
Exclusion criteria
* Infants born small for gestational age (SGA) * Infant birth weight \<2.5 kg * Infant BMI \<10th percentile on Olsen chart * Infants born \<38 weeks gestation * Infants with concern for intrauterine growth restriction (IUGR) and short femur length based on ultrasound * Mother is non-English speaking
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Time spent with glucose <40 mg/dL | The device will be worn from about 2 hours after birth until hospital discharge, up to a maximum of 10 days. It will be removed sooner if required for medical care or if the parent requests removal. | The Dexcom continuous glucose monitors measure interstitial fluid glucose values every 5 minutes. Data obtained from the Dexcom tracings will allow us to quantify how much time both infants with no risk for hypoglycemia (defined here as \<40 mg/dL) and those with risk factors for hypoglycemia spend at a blood glucose of \<40 mg/dL. |
Countries
United States