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Updated: Jun 23, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
The endocrinologist gap: Managing diabetes patients in absence of a specialist
Nabeel Ahmed1, Pablo Ingelmo2,3
1Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
Abstract:
The treatment of pediatric patients with diabetes is frequently orchestrated within a multidisciplinary framework at tertiary, specialized institutions. In situations where emergent surgery is indicated or when a procedure is scheduled in a facility devoid of an endocrinology service, the onus of managing perioperative glycemic levels may rest with the attending anesthesiologist. The objective of this review is to furnish a comprehensive examination of the anesthetic considerations and perioperative governance of pediatric patients with diabetes. Furthermore, this paper delineates a streamlined protocol for perioperative glycemic control, tailored to both major and minor surgical interventions.
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