<prompt> A large for gestational age baby delivered at 40 weeks was observed to be lethargic. The blood sugar was measured to be 35 mgdl. The management isFortified Breast Milk10 IV DextroseOral Glucose SolutionNormal Saline  <response>: Symtomatic Lethargy Hypoglycemia 10mgd1 should be managed with 10 IV Dextrose. Treatment of neonatal hypoglycemiaAsymptomatic with blood glucose between 20-40 mgd1:- Direct breast feeding is started. If neonate is unable to suck, expressed breast milk is given. Expressed breast milk should be fortified by 5g sugar per 100 ml of milkSymptomatic or asymptomatic with blood glucose 20 mgd1:- Bolus 10 dextrose 2m1kg is given IV. Followed by continuous infusion of 6 mgkgminute. If nonnoglycemia is not achieved within 24 hours, glucocorticoids prednisone or hydrocortisone should be administered. For intractable hypoglycemia, glucagon, epinephrine or diazoxide can be given. 