Abstract
If first on morning list:
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No morning insulin.
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Check blood glucose pre-op: 6-13 mmol/l - proceed with operation. > 13 mmol/l- give insulin and glucose as for major surgery. <6 mmol/l- set up 5% glucose drip.
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Monitor blood glucose every 2 h as well as immediately pre- and post-op.
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By lunch-time patient should be able to eat and drink, so give half morning insulin as fast-acting (soluble) insulin with lunch.
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Give normal evening insulin.
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© 1992 Springer-Verlag Berlin Heidelberg
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Johansen, K., Dagogo-Jack, S. (1992). Surgery in Diabetic Patients. In: Diabetes Guide. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-76868-2_6
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DOI: https://doi.org/10.1007/978-3-642-76868-2_6
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