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Do you change your pre-operative insulin dosing when patients are NPO for surgery, but also just recovering from newly resolved DKA?

2 Answers
Mednet Member
Mednet Member
Hospital Medicine · University of Iowa Hospitals and Clinics

For patients immediately recovered from DKA (e.g., within 72 hours), my first priority would be to delay any non-emergent surgery until the etiology of DKA has been evaluated and (if possible) addressed and the DKA has been definitively resolved with conversion off of continuous insulin and resumpti...

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Mednet Member
Mednet Member
Hospital Medicine · Temple University Hospital

I agree. As long as the patient does not need the surgery emergently, the cause of the DKA should be determined. The patient should also be monitored to ensure that the DKA does not return once it has resolved.

The basal insulin should be reduced by 25%. I usually reduce the dose of basal insulin be...

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Do you change your pre-operative insulin dosing when patients are NPO for surgery, but also just recovering from newly resolved DKA? | Mednet