(i) Type II diabetics, noninsulin dependents: stop all oral |
antidiabetic agents. In elective surgeries, hold oral antidiabetic |
agents 24 hours before intervention especially those such as |
chlorpropamide with a long half-life. |
(ii) Type II diabetics, insulin dependents: for elective short |
procedures (<2 hours), suspend regular insulin. Administer |
only 2/3 of the long-acting insulin (NPH) or give the full dose of |
basal insulin (glargine, levemir), and start nutrition 12 hours after |
surgery. |
(iii) Type I or II diabetics: for long surgeries or emergencies: |
only use regular insulin according to unit's protocol. |