From California, USA:
What pre-surgery precautions should be taken for diabetic children?
- Surgery should absolutely be done as the "first case", especially if outpatient and elective. This makes management so much easier; patient or parent should demand same.
- I advise morning long acting insulin at some decrease in dose depending on level of control. Less for better controlled and more for worse, to protect from hyper- and hypoglycemia later in the day.
- I usually advise skipping the morning rapid acting insulin unless the patient is very hyperglycemic. Our day surgery has a protocol.
- After day surgery, we arouse, offer clear liquids, and then advance. Most are on calories for supper and start back on some modified, but close to normal, routine.
- For inpatient and long-term NPO [nothing allowed by mouth] surgery:...well, that's why they invented IV insulin infusions.
Additional comments from Dr. Quick:Also, see Surgery Pre-Op Advice.
Original posting 12 Sep 1999
Posted to Other
Last Updated: Tuesday April 06, 2010 15:09:06
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