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From Rotherham, South Yorkshire, England:

Is it necessary for all children with type 1 diabetes to have intravenous insulin and fluids for minor surgery? If not, what do you suggest?


For outpatient surgery, I try to schedule first case in the morning. I then give about two-thirds of morning NPH with the plan for food by early afternoon. For those with pumps, we continue the pump at the basal rate. This, obviously, is predicated on a quick surgery with a rapid return to oral intake. If this isn't going to occur, then iv insulin is the easiest way to manage.


[Editor's comment: See Surgery Pre-Op Advice for some additional thoughts. WWQ]

Original posting 13 Sep 2000
Posted to Surgery


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Last Updated: Tuesday April 06, 2010 15:09:14
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