]> 2026-07-31T09:41:20+00:00 WBR0221 0 en '''Incorrect''' : Stopping insulin on the day of surgery is not advisable because of increased chance of stress induced hyperglycemia and ketoacidosis. No insulin on the night prior to surgery or on the morning of the surgery and sliding scale to keep the blood glucose below 200 mg/dl. '''Incorrect''' : Stopping insulin on the day of surgery or the night before surgery is not advisable because of the risk of ketoacidosis in type I diabetic patients. Normal insulin dose on the night before surgery, half dose on NPH and regular insulin on the morning of surgery, followed by sliding scale insulin to maintain blood glucose below 200 mg/dl. '''Incorrect''' : This option gives suboptimal control. This can be used if facilities for starting insulin drip are not available. Normal insulin dose on the night before surgery, and start the patient on an insulin drip and infusion of D5 1/2NS with 40 mEq of KCL to keep the blood glucose below 160 mg/dl. '''Correct''' : Normal insulin dose on the night before surgery, and start the patient on an insulin drip and infusion of D5 1/2NS with 40 mEq of KCL to keep the blood glucose below 160 mg/dl would be the best option for controlling the patient diabetic status No change in insulin dose. '''Incorrect''' : Changing to insulin drip and infusion is best way to prevent perioperative diabetic complications. Inpatient Facilities A 29 year old female is admitted to the hospital for an elective cesarean section. She is on her 38th week of pregnancy. The patient was diagnosed with type 1 diabetes three years ago. She is currently on NPH (32 units before breakfast, 26 units at bed time) and regular insulin ( 22 units before breakfast, 22 units before supper). Before admission her glucose control was acceptable and she denied hypoglycemic symptoms. She does not have any chronic diabetic complications. The procedure is scheduled on the next day of admission. Which statement correctly describes the proper preoperative management of diabetes in this patient? D Endocrine 2020-10-27T23:48:37Z 2459150.4920949 WBR0221