Evidence map›Paper›PMID 36516806›Full record

Trial reportNeonatology2023

Mid-Childhood Outcomes after Dextrose Gel Treatment of Neonatal Hypoglycaemia: Follow-Up of the Sugar Babies Randomized Trial.

Sophie L St Clair, Darren W T Dai, Deborah L Harris, Gregory D Gamble, Christopher J D McKinlay, Samson Nivins, Rajesh K Shah, Benjamin Thompson, Jane E Harding, CHYLD Study Group

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Neonatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
1.6field-weighted citation impact, top 17% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 11 citations in OpenAlex.

  1. Oral dextrose gel for hypoglycemia in a well-baby nursery: a baby-friendly initiative.Journal of perinatology : official journal of the California Perinatal Association · 2025
    Article
  2. Article
  3. Neonatal hypoglycaemia.BMJ medicine · 2024
    Review
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Sophie L St ClairLiggins Institute, The University of Auckland, Auckland, New Zealand, sstc107@aucklanduni.ac.nz.
Darren W T DaiLiggins Institute, The University of Auckland, Auckland, New Zealand.
Deborah L HarrisLiggins Institute, The University of Auckland, Auckland, New Zealand.
Gregory D GambleLiggins Institute, The University of Auckland, Auckland, New Zealand.
Christopher J D McKinlayKidz First Neonatal Care, Counties Manukau Health, Auckland, New Zealand.
Samson NivinsLiggins Institute, The University of Auckland, Auckland, New Zealand.
Rajesh K ShahLiggins Institute, The University of Auckland, Auckland, New Zealand.
Benjamin ThompsonSchool of Optometry and Vision Science, University of Waterloo, Waterloo, Ontario, Canada.
Jane E HardingLiggins Institute, The University of Auckland, Auckland, New Zealand.
CHYLD Study Group
University of Auckland · NZUniversity of Waterloo · CA

Funding

"Two year outcomes after dextrose gel prophylaxis for neonatal hypoglycaemia"R01HD091075 · NICHD · UNIVERSITY OF AUCKLAND · PI HARDING, JANE · 2018 to 2022
$2.0M
Children with Hypoglycemia and their Later Development (the CHYLD Study)R01HD069622 · NICHD · UNIVERSITY OF AUCKLAND · PI HARDING, JANE · 2011 to 2015
$1.7M
NICHD NIH HHS R01 HD069622NICHD NIH HHS R01 HD091075
6 · The paper itself

Abstract

introductionDextrose gel is widely used as first-line treatment for neonatal hypoglycaemia given its cost-effectiveness and ease of use. The Sugar Babies randomized trial first showed that 40% dextrose gel was more effective in reversing hypoglycaemia than feeding alone. Follow-up of the Sugar Babies Trial cohort at 2 and 4.5 years of age reported that dextrose gel appeared safe, with similar rates of neurosensory impairment in babies randomized to dextrose or placebo gel. However, some effects of neonatal hypoglycaemia may not become apparent until school age.

methodsFollow-up of the Sugar Babies Trial cohort at 9-10 years of age was reported. The primary outcome was low educational achievement in reading or mathematics. Secondary outcomes included other aspects of educational achievement, executive function, visual-motor function, and psychosocial adaptation.

resultsOf 227 eligible children, 184 (81%) were assessed at a mean (SD) age of 9.3 (0.2) years. Low educational achievement was similar in dextrose and placebo groups (36/86 [42%] vs. 42/94 [45%]; RR 1.04, 95% CI 0.76, 1.44; p = 0.79). Children allocated to dextrose gel had lower visual perception standard scores (95.2 vs. 100.6; MD -5.68, 95% CI -9.79, -1.57; p = 0.006) and a greater proportion had low (<85) visual perception scores (20/88 [23%] vs. 10/95 [11%]; RR 2.23, 95% CI 1.13, 4.37; p = 0.02). Other secondary outcomes, including other aspects of visual-motor function, were similar in both groups.

conclusionTreatment dextrose gel does not appear to result in any clinically significant differences in educational achievement or other neurodevelopmental outcomes at mid-childhood.

Indexed as

HypoglycemiaInfant, Newborn, DiseasesBlood GlucoseChildFollow-Up StudiesGlucoseHumansInfantInfant, NewbornSugarsBlood GlucoseGlucoseSugarsNeurodevelopmentRCTVisual function

Identifiers

PMID36516806
PMCPMC9992292
OpenAlexW4311448224

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.