f4be57d2_care_Research___Quality__AHRQ___rocess_Step___Facility_Feature
Diabetic patients, on day before surgery, do half their insulin, then day of surgery they do not consume sugar free, they drink real soda. Very careful about insulin dependent cases so try and do them early and always be flexible. The schedulers don't always understand patient specifics so they might schedule someone at bad time. An endocrinologist does not typically work on a case in advance for adults, but on day of surgery they will measure insulin etc. Check glucose before and after the procedure. If a patient is known to be diabetic then additional procedure prep done and insulin needs incorporated throughout plan for surgery. Requires an endocrinologist's note for insulin dependent patients and the endocrinologists are involved during procedure day. Before they were involved it was too difficult for the anesthesiologists to figure out accurate regimen, now they are integrated.
Special issues/process for diabetics?
Appendix D. Site Visit Comparison Process | Agency for Healthcare Research & Quality (AHRQ)
Process Step / Facility Feature