What is the recommended treatment for hypoglycemia in neonates?

In neonates experiencing hypoglycemia, the recommended treatment is the administration of Dextrose 10% (D10) at a dosage of 2 cc per kilogram. This recommendation is based on the need to quickly elevate blood glucose levels while minimizing potential complications associated with higher concentrations of dextrose.

D10 provides an effective concentration to safely and rapidly correct hypoglycemia, as neonates may have limited glycogen stores and their ability to produce glucose on their own can be immature. The choice of D10 instead of higher concentrations, such as D15 or D25, minimizes the risk of hyperglycemia and potential osmotic issues that could harm the delicate physiology of a neonate.

The dosage of 2 cc per kilogram is appropriate for ensuring adequate delivery without overwhelming the neonate's system. Administering too concentrated a solution can lead to complications, which is why D10 is preferred for this age group in clinical practice.