Pediatric Committee. What is the appropriate insulinization during surgery in pediatric patients with type 1 diabetes mellitus?
DOI:
https://doi.org/10.47196/diab.v58i1Sup.759Keywords:
diabetes mellitus, children and adolescents, surgery, insulinizationAbstract
Children and adolescents with diabetes may require surgery during their progress.
This recommendation is aimed at defining the necessary changes in the insulin schedule and glucose monitoring, before, during and after surgery. To this end, a bibliographic search of publications on the subject of the last 5 years was carried out.
The most relevant ones were selected.
The different publications suggest that in view of the need for elective minor surgery, maintain the basal insulin regimen or the baseline profile if the patient uses an inaulin pump, maintain glycemia between 90-180 mg%, control it frequently every 30 minutes and make corrections with rapid SC insulin if necessary. In the case of elective major surgery, administer insulin by intravenous infusion, suspending the pump if the patient uses it, maintain the objective and glycemic monitoring as well as minor surgery.
References
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II. Chizo-Agwu J, SM Ng, JA Edge, J H Drew, C Moudiotis, NP Wright, M. Kershaw, N Trevelyan, R Goonetilleke. Clinical guideline care of children under 18 years with diabetes mellitus undergoing surgery. Disponible en: https://www.a-c-d-c.org/wp-content/uploads/2012/08/Care-of-children-under-18-years-with-Diabetes-Mellitus-undergoing-Surgery-1.pdf.
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