This document is intended to help hospitals to develop guidelines for the prevention and management of hypoglycaemia in the “at risk” infant. It may be used to support the development of new guidelines or to decide whether the current guidelines will help the staff to practise in a way which will meet the standards for Baby Friendly accreditation.

This document deals with key issues to be considered when devising guidelines for the prevention and management of hypoglycaemia of the newborn. These include the identification of babies who should be considered “at risk”, basic principles which should underpin all guidelines for their management, and the creation of an effective flow chart to guide day-to-day practice. The document includes a checklist which can be used as a way of evaluating the likely accuracy and effectiveness of existing or planned guidelines.