R Hanas
,
CWD 2003
Diabetes and surgery
-
Schedule surgery first thing in the morning
-
I.V. insulin best for major surgery with
general anesthesia
-
F
or minor surgery with local anesthesia
,
t
ake only basal insulin (
Lantus
or pump)
-
Emergency surgery:
I.V. insulin to bring down BG before surgery
-
Ketoacidosis can give abdominal pain of the
same magnitude as appendicitis
-
Parents are the “diabetes experts” when
their child is at a pediatric surgery ward!