Periprocedural diabetes management Flashcards
1
Q
General principles
A
Screen
Optimise control
Optimise management of CVD
Screen for Kidney disease
2
Q
T1DM
A
Long/complex: Insulin and glucose infusion
Short: Continue basal insulin unless on infusion
Post procedure: monitor BGL
3
Q
T1DM and NBM
A
Continue basal Omit meal time rapid acting Hourly BGL Hyper- rapid acting Hypo - glucose gel/tablet/juice, BGL Q15 min
4
Q
T2DM
A
Metformin: stop day before if CKD3 or more
SGLT2 inhibitors: risk of DKA, stop 2 days before and day of
Others: stop day of
Post procedure use insulin
5
Q
Insulin
A
Continue day before Usual basal dose day of Omit preceding short/rapid acting Half morning dose of short/rapid acting Post procedure: recommence once oral intake resumes
6
Q
Post procedure
A
Metformin and SGLT2 Inhibitors: don’t restart until kidney function at baseline and eating and drinking as normal
