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3 results

  • Chapter 32 - Diabetes in Surgery

  • from Part 7 - Surgery
  • Edited by Hugh Montgomery, Robert Shulman, Mayur Murali
  • Book:
    Surviving Prescribing
    Published online:
    08 June 2020
    Print publication:
    25 June 2020, pp 137-144

  • Summary

    Managing diabetes during surgery is complex. Adverse outcomes associated with poor preoperative diabetes management includes higher morbidity and mortality, higher risk of diabetic ketoacidosis and hypoglycaemia, prolonged inpatient stay, and higher systemic and surgical complications. The author provides a detailed description of pre- and postoperative management of insulin- and noninsulin-dependent diabetic patients.

  • Chapter 9 - Diabetic Ketoacidosis

  • from Part 3 - Emergency Prescribing
  • Edited by Hugh Montgomery, Robert Shulman, Mayur Murali
  • Book:
    Surviving Prescribing
    Published online:
    08 June 2020
    Print publication:
    25 June 2020, pp 43-44

  • Summary

    Diabetic ketoacidosis (DKA) is a life-threatening state of relative or absolute insulin deficiency, aggravated by ensuing hyperglycaemia, dehydration and deranged metabolism, causing ketoacidosis. Readers are reminded of the diagnostic criteria, and advised of the primary and most critical initial treatments – fluids and intravenous insulin. Top tips for DKA prescribing, based on the latest Joint British Diabetes Society guidelines, are also provided.