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Blood glucose homeostasis in the first 24 h of life
  1. Kinjal Juthani1,
  2. Shankar Kumar1,
  3. Anthony F Williams2
  1. 1 St George's Hospital Medical School, London, UK
  2. 2 Department of Child Health, St George's Hospital Medical School, London, UK
  1. Correspondence to Kinjal Juthani, St George's Hospital Medical School, University of London, Cranmer Terrace, London SW17 0RE, UK; kinjal.juthani{at}gmail.com

https://doi.org/10.1136/archdischild-2013-304580

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    We read with great interest the article ‘Definition of neonatal hypoglycaemia: time for a rethink?’1 which highlighted the numerous difficulties in defining neonatal hypoglycaemia. The process of mobilising glucose and other fuels from stores to meet metabolic demands during early postnatal life is compromised in sick and/or preterm babies.2 Few studies describe changes in early blood glucose concentration (BGC) in these babies.3 No data exist that define BGC that causes neurological damage, and there is considerable debate about when intervention is necessary to treat hypoglycaemia. Our aim was to document changes in BGC in sick newborn …

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    Footnotes

    • Contributors All authors contributed to the concept and design of the study. KJ collated the data which were analysed by all authors. KJ and SK drafted the manuscript, which was revised and edited by all authors.

    • Competing interests None.

    • Ethics approval The protocol was reviewed by Dr Phillip Sedgwick, reader in Statistics and course organiser at St George's Hospital Medical School, University of London.

    • Provenance and peer review Not commissioned; externally peer reviewed.