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Updated: Apr 28, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Perioperative Medication Management for Patients with Diabetes: Oral Agents, Insulins, Noninsulin Injectables, and
Elizabeth W Duggan1, C David Mazer2
1Department of Anesthesiology and Perioperative Medicine, University of Alabama at Birmingham, Heersink School of Medicine, 619 South 19th Street, JT 804, Birmingham, AL 35249-6810, USA.
Abstract:
Perioperative management of diabetes medications requires careful coordination to maintain glycemic control while minimizing the risk associated with both hyper and hypoglycemia. Optimal day of surgery blood glucose control requires guidance for oral hypoglycemic agents and home insulin regimens. Most oral and injectable agents require adjustments the day before and day of surgery to account for altered nutrition, the surgical stress response, and the mechanism of drug action. Medications are also individually adjusted based on the type of diabetes, length of NPO period, and invasiveness of the surgical procedure.
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