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. 2021 Aug 15;12(8):1255–1266. doi: 10.4239/wjd.v12.i8.1255

Table 2.

Insulin treatment on the day of surgery

Insulin types
Regiment on the day of surgery
Lantus/Toujeo, Tresiba, Levemir (long-acting insulins) Half dose of normal in the morning of surgery
NPH-insulin (intermediate insulin) Half dose of normal in the morning of surgery
Inulin aspart protamine, insulin aspart; Insulin lispro protamine, insulin lispro; Insulin neutral protamine hagedorn and insulin regular (all mixed insulin) Depending to the blood glucose: If > 200 mg/dL: Take half of the normal dose in the morning; If < 200 mg/dL: No insulin
All models of insulin pumps: Endocrinology consult recommended, except patient ambulatory Basal rate until operation, continue with iv insulin during surgery