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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
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