Management of children with diabetes requiring surgery or fasting

Emergency surgery

Minor procedures requiring fasting

For short procedures (with or without sedation or anesthesia) and when rapid recovery is anticipated, a simplified protocol may be organized by experienced diabetes/anesthetic personnel and may include either
  • early morning procedure (e.g. 8.00–9.00 am) with delayed insulin and food until immediately after completion
    or
  • reduce (e.g. give of) usual insulin dose or give repeated small doses of 
    short/rapid-acting insulin

Glucose 5–10% infusion and frequent BG monitoring are recommended in all these situations


 
 
Consensus Guidelines 2000
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IDF Type 1 Guidelines
IDF Type 2 Guidelines