Postoperative Management of the Emergency Surgical Patient With Diabetes

Metadata

• Author: OUP Academic
• Full Title: Postoperative Management of the Emergency Surgical Patient With Diabetes
• Category: #articles
• URL: https://academic.oup.com/bjaed/article/17/4/129/2629524?login=false

Highlights

• In the UK, the VRIII is the standard way of managing diabetes perioperatively. It should be used in the following circumstances:
  • Patient with Type 1 diabetes undergoing surgery with a starvation period greater than 1 missed meal.
  • Patient with Type 1 diabetes undergoing surgery who has not received background insulin.
  • Patient with Type 2 diabetes undergoing surgery with a starvation period greater than 1 missed meal and develops significant hyperglycaemia (CBG > 12 mmol litre−1).
  • Patients with poorly controlled diabetes as defined as a HbA1c > 8.5% (69 mmol mol−1). (View Highlight)