Case 8: A Diabetic Patient for Inguinal Hernia Repair
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A 54-year-old man is admitted for an inguinal hernia repair. He has been a type 1 diabetic for 18 years. Two years ago, he developed end-stage renal disease (ESRD), secondary to his diabetic kidney. He now required daily peritoneal dialysis. The peritoneal fluid used consisted of a glucose-containing dialysis fluid in the daytime and an overnight dialysis fluid using one exchange of 2 l peritoneal fluid containing Icodextrin (7.5% w/v) (Extraneal, Baxter Healthcare, Castlebar, Ireland). Icodextrin is a cornstarch-derived glucose polymer. His insulin regimen consisted of Human Insulatard (Novo Nordisk) before bed and Humalog (lispro) before his main meals.
KeywordsInguinal hernia repair ESRD Diabetes mellitus Hypoglycemia Accu-Chek® Blood sugar Dialysis fluid Glucose monitor Glucose test strips Uric acid Icodextrin dialysis fluid