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Chapter 73 - Peri-operative Diabetes Management

from Section 8 - Endocrine

Published online by Cambridge University Press:  03 August 2023

Jessica A. Lovich-Sapola
Affiliation:
Cleveland Clinic, Ohio
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Summary

A 19-year-old female is scheduled for a septoplasty. She is a type I diabetic. She says that her blood glucose is controlled by an insulin pump. Her endocrinologist is from an outside hospital. What are the pre-operative concerns? What labs would you request? What is your anesthetic plan?

Type
Chapter
Information
Anesthesia Oral Board Review
Knocking Out The Boards
, pp. 303 - 310
Publisher: Cambridge University Press
Print publication year: 2023

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References

American Diabetes Association. Classification and diagnosis of diabetes: standards of medical care in diabetes – 2021. Diabetes Care 2021;44:S15CrossRefGoogle Scholar
Dagogo-Jack, S, George, K. Management of diabetes mellitus in surgical patients. Diabetes Spectrum 2002;15:44–8.Google Scholar
Gropper, MA. Miller’s Anesthesia, 9th ed. Philadelphia: Elsevier, 2020, 955–6, 9991007.Google Scholar
Goldman, L, Ausiello, D. Cecil, 23rd ed. Philadelphia: Saunders Elsevier, 2008, chapter 457.Google Scholar
Hirsch, IB, Emmett, M. Diabetic ketoacidosis and hyperosmolar hyperglycemic state in adults: treatment. In Nathan DM, ed., UpToDate. www.uptodate.com/contents/diabetic-ketoacidosis-and-hyperosmolar-hyperglycemic-state-in-adults-treatment (accessed October 30, 2021).Google Scholar
Inzucchi, SE, Lupsa, B. Clinical presentation, diagnosis, and initial evaluation of diabetes mellitus in adults. In Nathan DM, Wolfsdorf JI, eds., UpToDate. www.uptodate.com/contents/clinical-presentation-diagnosis-and-initial-evaluation-of-diabetes-mellitus-in-adults (accessed October 30, 2021).Google Scholar
Lor-Trivedi, M. Perioperative management of the diabetic patient. eMedicine. 2008.Google Scholar
Marks, JB. Perioperative management of diabetes. Am Fam Physician 2003;67:93100.Google Scholar
Piccini, JP, Nilsson, KR. The Osler Medical Handbook, 2nd ed. Philadelphia: Saunders Elsevier, 2006, chapter 25.Google Scholar
Yao, FSF, Fontes, ML, Malhotra, V. Yao & Artusio’s Anesthesiology: Problem-Oriented Patient Management, 6th ed. Philadelphia: Lippincott Williams & Wilkins, 2008, pp. 782–95.Google Scholar

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