<prompt> In a neonate with asymptomatic hypoglycemia immediate treatment should include which of the following?100 mgkg Dextrose2 mgkg 10 Dextrose2 mlkg 25 DextroseNone  <response>: Ans is None o Immediate treatment in asymptomatic hypoglycemia is trial of oral feeding. Treatment of asymptomatic hypoglycemia o Babies with asymptomatic hypoglycemia are also at risk for developing long term neurodevelopmental sequelae and hence should be urgently treated. o Recommendation: In healthy asymptomatic hypoglycemic infants, initially a feed of measured breast milk can be given by spoon or gavage. If breast milk is not available, then formula milk may be used. Check blood glucose 30-60 min later before next feeding to ensure euglycemia. If repeat blood glucose is above 45 mgdL, 2-3 hourly feed is ensured with 4-6 hourly monitoring for glucose upto 48 hrs. o IV glucose infusion should be staed in babies with asymptomatic hypoglycemia if: a Blood glucose is 25 mgdL b Blood glucose remains below 40 mgdL despite one attempt of feeding breask milk. c Enteral feeding is contraindicated. d Baby becomes symptomatic. 