By vgreene, 21 February, 2018 ✓BG: upon arrival to post-op, and q1-2h (q1h if on insulin drip)
By vgreene, 21 February, 2018 If d/c to home: Resume home antihyperglycemic regimen, if it was effective,6 or arrange f/u for new7/uncontrolled6 hyperglycemia. If on metformin and NL renal function, OK to resume 48h post-op. If on α-glucosidase inhibitor, resume only when meals resume
By vgreene, 21 February, 2018 If on insulin drip, admitting to ICU/ward: Transition to scheduled SC insulin3 once stable,4 based on estimated totally daily insulin,3 distributing 50% to once-daily basal and 50% to nutritional. For most pts, allow several hours overlap5 before d/c insu
By vgreene, 21 February, 2018 Control post-op N/V; promote oral intake when appropriate. Specify insulin adjustments if nutrition is started/interrupted
By vgreene, 21 February, 2018 ✓BG q1-2h post-op; BG target 100-180 mg/dL,1 avoid/tx hypoglycemia2 (BG
By vgreene, 21 February, 2018 Intra-op: ✓BG q1-2h; target BG 100-180 mg/dL (100-150 for intra-op cardiac surgery)
