XL16: Martin Ward-Platt: Neonatal Hypoglycaemia - Evidence and Recommendations

Price US20.00

From over two decades of research, we have a much better understanding of the physiology of blood glucose, and other fuels such as lactate and ketones, in the newborn baby; but we still have few randomised trials to guide us towards the best strategies either for the prevention or the management of hypoglycaemia. Therefore if we are to manage babies properly, we need to base our clinical guidelines on an understanding of the physiology until we have empirical studies to guide us. We need to understand that babies potentially face two successive nutritional crises: the loss of the placenta at birth, and the delayed arrival of breast milk, especially when the mother is primiparous.

Most babies are robust enough to deal with these two difficulties, but we need to identify, and help where necessary, those babies who are not coping successfully, and are becoming fuel deficient. This presentation therefore focuses on normal physiology in the context of term and preterm delivery; the concept of ‘safe’ blood glucose values in relation to alternative fuels; the hormonal control of blood glucose in the newborn; situations of abnormalities of supply and demand for glucose; and some of the influences of intrapartum care on newborn metabolism.

Lecturer:
Dr Martin Ward-Platt
Synopsis:
This presentation therefore focuses on normal physiology in the context of term and preterm delivery; the concept of ‘safe’ blood glucose values in relation to alternative fuels; the hormonal control of blood glucose in the newborn; situations of abnormalities of supply and demand for glucose; and some of the influences of intrapartum care on newborn metabolism.
CERPs:
1 L CERPs / 1 Lactation Specific Hours
Access period:
One week
Lecture recorded at:
GOLD09

Dr Martin Ward Platt has been a consultant in neonatal medicine in Newcastle upon Tyne since 1990; he is also honorary Reader in Neonatal and Paediatric Medicine at Newcastle University.

He has a long standing interest in the developmental physiology and metabolism of the neonate and infant, and has published extensively on clinical aspects of blood glucose control and its disorders.