Newborn Sugar Levels and Breastfeeding, with Dr. Casey Rosen-Carole

There are certain conditions where a newborn’s risk of hypoglycemia increases. What are those conditions? How and when are they tested for? If there’s a concern, does that mean your baby will get formula supplementation, and how does all of this impact initial breastfeeding? Dr. Casey Rosen-Carole has answers. Check it out.

Listen directly through our website player, or however you usually listen to podcasts.


What we talked about:

  • Why do we care about sugar levels?
  • Are sugar levels a good indicator of impaired metabolic adaptation?
  • What causes hypoglycemia? What is the % of babies that have it?
  • If sugar levels are low, what is the risk for neurological damage? Does the body not have any protective mechanisms against this?
  • Hypoglycemic newborn signs or symptoms
  • The evidence for treatment
  • What infants are at risk?
  • Do healthy, full-term babies born to people who experienced a normal pregnancy, labor, and birth need to be tested?
  • How are babies tested?
  • Is there a threshold for what number constitutes low blood glucose levels?
  • Normal drops in levels vs. concerning levels
  • Protocols/options for helping the stabilization of sugar levels
  • Glucose gel, formula, IV glucose or expressed milk?
  • How do these interventions (glucose, formula supplementation, separation) impact breastfeeding?
  • What can new parents do to help encourage breastfeeding with these interventions?
  • Can you do anything during pregnancy to lessen the risk?
  • What about preemptive expressing of colostrum?


Mentioned links and other related articles*:


Related Birthful episodes:




Courtesy of Dr. Rosen-Carole

About Dr. Casey Rosen-Carole

Dr. Rosen-Carole is Medical Director of Lactation Services and Programs at the University of Rochester. She trained at New York Medical College and completed a residency in Pediatrics at Yale New Haven Children’s Hospital. She was a practicing community pediatrician and residency faculty from 2008-2014, in New Haven, CT then in New York’s Hudson Valley before relocating to Rochester to do a fellowship in Breastfeeding Medicine and General Academic Pediatrics. Dr. Rosen-Carole was in the National Health Service Corps from 2010-2014 working in Federally Qualifying Health Centers, which helped her fulfill her mission of increasing access and quality of care for at-risk children. She practices outpatient and inpatient Breastfeeding Medicine.

Dr. Rosen-Carole’s research focus is in systems change for breastfeeding education and support; she is currently investigating the role of stress in mothers whose infants are admitted to the NICU. Other areas of interest include community organizing to address social determinants of health, programming for diversity and equity.

UR Medicine Breastfeeding – Call (585) 276-MILK
MotherToBaby – Call (585) 275-3638 or 1 (844) 352-3420 (toll-free) or email (9:00am to 4:00pm Monday through Friday).


Sign-up to for a FREE copy of my




Title music:Vibe Aceby Kevin MacLeod, from the Free Music Archive / CC BY (edited for length).

Sponsorship music:Air Hockey Saloon” by Chris Zabriskie, from the Free Music Archive / CC BY (edited for length).

Get Your FREE Postpartum Plan!

Sign up to get access to my NEW Postpartum Prep. Plan to help you prepare for life with a newborn! You'll also get updates from me from time to time.

We won't send you spam. Unsubscribe at any time. Powered by ConvertKit

Recent Episodes

Can You Let Your Baby Sleep Whenever They Want?

Can You Let Your Baby Sleep Whenever They Want?

Infant care researcher and clinical director Dr. Pamela Douglas explains an emerging evidence-based paradigm in infant sleep that does away with sleep training. She shares with Adriana the importance of providing babies with rich sensory nourishment, and what long...

Why We Are Carrier Mammals

Why We Are Carrier Mammals

Adriana explains why the type of mammal humans are impacts how much and what kind of care your baby needs from you. Which style of baby carrier is your perfect fit? Let's discuss options on Instagram @birthfulpodcast. Powered by RedCircle Listen...

[Birth Stories] Giving Birth to Twins as a Disabled Person

[Birth Stories] Giving Birth to Twins as a Disabled Person

Dani Izzie, a disability advocate who is quadriplegic, tells Adriana how her years of navigating the medical system, connecting with a community who understands her, building a supportive team, and her deep understanding of her body helped her through the birth of her...

*May contain affiliate links. This means that -at no extra cost to you- I may get a small percentage of what you buy. That is one of the ways of helping me continue to do this podcast – Thank you!