Perioperative management of diabetes.

  title={Perioperative management of diabetes.},
  author={Jennifer B. Marks},
  journal={American family physician},
  volume={67 1},
Maintaining glycemic and metabolic control is difficult in diabetic patients who are undergoing surgery. The preoperative evaluation of all patients with diabetes should include careful screening for asymptomatic cardiac or renal disease. Frequent self-monitoring of glucose levels is important in the week before surgery so that insulin regimens can be adjusted as needed. Oral agents and long-acting insulin are usually discontinued before surgery, although the newer long-acting insulin analog… CONTINUE READING