https://idwiki.org/index.php?action=history&feed=atom&title=Perioperative_management_of_glucose_abnormalities 2026-05-19T08:27:41Z Revision history for this page on the wiki MediaWiki 1.43.8 https://idwiki.org/index.php?title=Perioperative_management_of_glucose_abnormalities&diff=4394&oldid=prev 2020-07-04T01:17:50Z

<p>Imported from text file</p> <p><b>New page</b></p><div>== Indications ==<br /> <br /> * Type 1 or 2 diabetes mellitus<br /> <br /> == Options ==<br /> <br /> * Continuous IV insulin infusion<br /> * Long-acting insulin only<br /> * Hold oral medications<br /> <br /> == Continuous IV insulin infusion ==<br /> <br /> === Indications ===<br /> <br /> * Type 1 or 2 diabetes mellitus patients who are &#039;&#039;&#039;on insulin&#039;&#039;&#039; and are preparing for one of the following procedures:<br /> ** Any cardiovascular surgery<br /> ** Any major surgery lasting 2 or more hours<br /> ** Peripartum care in obstetrics<br /> ** Scleral-buckle ophthalmology surgery<br /> ** Any unstable patients, even if not previously on insulin<br /> <br /> === Procedure ===<br /> <br /> * Calculate total daily dose (TDD) of insulin<br /> * Initial infusion rate = (1/2 TDD) / 24h = TDD / 48h<br /> * Use sliding scale to target 8-12 mmol/L<br /> <br /> == Long-acting insulin only ==<br /> <br /> === Indications ===<br /> <br /> * Can be used for patients with diabetes, on insulin, who are going for short procedures (e.g. less than 2 hours)<br /> <br /> === Management ===<br /> <br /> * Give between half and two-thirds of the intermediate-acting insulin in the morning, with a sliding scale of rapid-acting<br /> <br /> [[Category:Perioperative medicine]]<br /> [[Category:Endocrinology]]</div>

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