Diabetic ga

RE: Diabetic ga

Courtney Scales — Mon, 16 Jul 2018 08:31:25 GMT

[quote user="sam sanderson"]

We have a stable diabetic requiring a dental. What is everyone's protocol for starving and insulin administration?

[/quote]

The aim of the game is to not disturb from their usual routine as much as possible. Where I work they will often get their meal and insulin in the morning (Os usually do it 6/7am) and then anaesthesia about 4 hours from there. If you use shorter acting drugs and doses to effect (as well as local blocks! See here for some) then they will be awake in time for dinner!

But if they are an early morning procedure, we don't ask that they're fasted and then given a 'half dose'. They are fasted, BG checked, and THEN insulin dose is provided IF NEEDED. Here is a good section in the BSAVA:

RE: Diabetic ga

bumble bee — Fri, 06 Jul 2018 13:45:55 GMT

Did a diabetic CPD online a while back .This said starve from midnight. Check BG on admission ,if above 15 full insulin, if between 8-15 then half, if below 8 then no insulin & chk BG through surgery if prolonged & on recovery.

RE: Diabetic ga

apache — Mon, 02 Jul 2018 21:25:58 GMT

Nothing to eat from midnight, 1/2 dose of insulin AM. Check glucose at pre-med and on recovery.