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Perioperative Management of Diabetes Mellitus (view source)
Revision as of 15:45, 22 August 2022
, 15:45, 22 August 2022Created page with "* Insulin does not lower blood glucose, it just prevents it from going up. * Sliding scale = BAD because it is reactive and can lead to insulin stacking, and possibly hypogly..."
* Insulin does not lower blood glucose, it just prevents it from going up.
* Sliding scale = BAD because it is reactive and can lead to insulin stacking, and possibly hypoglycemia.
* Inpatients should hold oral medications (e.g. Metformin) 24 hrs prior to surgery, continue nasal insulin.
* Ambulatory patients are ok to continue with oral medications prior to surgery.
* Check ketones for BG > 250 prior to surgery.
* If patient is insulin naive and intraop BG > 180, can give small doses of rapid-acting insulin.
* Sliding scale = BAD because it is reactive and can lead to insulin stacking, and possibly hypoglycemia.
* Inpatients should hold oral medications (e.g. Metformin) 24 hrs prior to surgery, continue nasal insulin.
* Ambulatory patients are ok to continue with oral medications prior to surgery.
* Check ketones for BG > 250 prior to surgery.
* If patient is insulin naive and intraop BG > 180, can give small doses of rapid-acting insulin.