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Question: From California, USA: What pre-surgery precautions should be taken for diabetic children? Answer: 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. LD Additional comments from Dr. Quick: Also, see Surgery Pre-Op Advice. WWQ DTQ-19990630035926 Original posting 12 Sep 1999 Posted to Other

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			Jump to a new section --[ Getting Around ]-- Home Page What's New Privacy Policy Search --[ People ]-- Family Support Network Adults with Diabetes Care Photos Chat Rooms Conferences Kids with Diabetes Parents Parent Humor Scholarships and Financial Aid Grandparents Humorous Tidbits Jobs Mailing Lists CWD Forums Poetry and Art Videos Polls Quilt for Life Surveys Blogs --[ Clinic ]-- Ask the Diabetes Team Alternate Site Testing Alternative Treatments Care Suggestions CWD Español Diabetes Basics Diabetes at School 504 Plans Diabetes Camps Diabetes Dictionary Insulin Pumps Nutrition Podcasts Presentations Products Product Marketplace Sports Studies Warning Signs --[ Sources ]-- News and Information Diabetes Advocacy Links to Other Web Sites Press Releases Regional Information Services Support Groups --[ Feedback ]-- About CWD Advertise Awards Contribute Your Experiences Disclaimer Letters to the Editor Logos and Linking Share our Brochures

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