Both high and low blood sugar levels are common in preterm babies and this has been linked with poor outcome. One of the difficulties of managing sugar levels in preterm babies is that it involves a sample of blood being taken and as clinical teams try to avoid disturbing babies there is often a long time between measurements. There is now a device which monitors and records sugar levels continuously (continuous glucose monitor) which is used by some children and adults with diabetes. This involves a small sensor being placed under the skin which can be left for up to a week and allows the patient to respond quickly and treat changes in their sugar levels.
REACT will be studying the effectiveness of using continuous glucose monitoring in 200 preterm babies to see if it can help reduce how often and for how long they have very high or very low sugar levels.