Insulin During Surgery

Question 1

What to do the DAY BEFORE a minor surgery with good glycemic control

Answer 1

reduce OD long acting insulin by 20%

Question 2

What to do ON THE DAY a major surgery with poor glycemic control

Answer 2

reduce OD long acting insulin by 20%

Question 3

What to do ON THE DAY of a major surgery with poor glycemic control

Answer 3

• reduce OD long acting insulin by 20%
• IV infusion of Glucose, NaCl and KCl
• IV insulin (soluble human) in NaCl 0.9
• Iv glucose 20% if BG falls under 6mmol/L

Question 4

What to do with insulin post surgery

Answer 4

convert from insulin pump to normal insulin when they can eat normally

Question 5

What are the sick day rules for Insulin

Answer 5

S sugar levels (check BG regularly)
I insulin (carry on taking)
C carbohydrates (keep eating stay hydrated)
K ketones (check ketones regularly)