Management of type 1 diabetes and perioperative fasting.
Pre and postoperative fasting presents specific problems to patients with type 1 diabetes. Too much insulin can cause hypoglycaemia, whereas too little can lead to ketoacidosis. Simon Eaton explains how avoiding these complications requires use of appropriate treatment regimes and careful monitoring of glucose levels.
Eaton
Simon E M
SE
Royal Hallamshire Hospital, Sheffield.
D001786:Blood Glucose / Q000032:analysis; D003922:Diabetes Mellitus, Type 1 / Q000150:complications*; D016883:Diabetic Ketoacidosis / Q000209:etiology / Q000517:prevention & control; D005215:Fasting; D006801:Humans; D007003:Hypoglycemia / Q000209:etiology / Q000517:prevention & control; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D013527:Perioperative Nursing; D011300:Preoperative Care; D013514:Surgical Procedures, Operative
D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin