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Australasian periprocedural guideline for children and adolescents with diabetes mellitus

Niamh Jennings1, Craig Jefferies2,3, Subhapriya Sreedharan4

  • 1Department of Paediatrics, University of Otago, Christchurch, New Zealand. jenni797@student.otago.ac.nz.

BMC Endocrine Disorders
|December 8, 2025
PubMed

Insights

A new guideline helps manage diabetes in children and adolescents during procedures. It ensures safe, patient-centered care by involving families and using a multidisciplinary approach for diabetes management.

Area of Science:

  • Pediatric Endocrinology
  • Diabetes Management
  • Surgical Care

Background:

  • The periprocedural period poses significant risks for pediatric patients with diabetes.
  • Managing diabetes in this population is complex due to diverse insulin and glucose monitoring technologies.

Purpose of the Study:

  • To introduce the Australasian Periprocedural Guideline for Children and Adolescents with Diabetes Mellitus.
  • To provide comprehensive guidance for healthcare providers managing pediatric diabetes patients during procedures.

Main Methods:

  • Co-development by leading Australasian pediatric endocrine and anesthesia societies with consumer input.
  • Emphasis on patient and caregiver involvement in management plan creation.
  • Multidisciplinary approach integration for complex cases.

Main Results:

  • Detailed recommendations on procedure classification and perioperative management.
  • Guidance on utilizing continuous glucose monitors and insulin pumps.
  • Strategies for fasting, intravenous fluid/insulin administration, and hypoglycemia management.

Conclusions:

  • Adherence to the guideline promotes safe, comprehensive, and patient-centered periprocedural care.
  • The guideline addresses the complexities of modern diabetes management technologies in pediatric surgical patients.

Keywords:
ChildGeneral anaesthesiaPeriprocedural guidelineType one diabetes

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