Management of children with diabetes requiring surgery or fasting

• Must be admitted to hospital for general anesthesia
• Need insulin, even if fasting, to avoid ketoacidosis
• Should receive a glucose infusion when fasting before an anesthetic to prevent hypoglycemia

Surgery on children and adolescents with diabetes should only be performed in centers with dedicated pediatric facilities for the care of young people with diabetes To ensure the highest levels of safety, careful liaison is required between surgical, anesthetic and children’s diabetes care teams before admission to hospital for elective surgery and as soon as possible after admission for emergency surgery