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Fasting before minor surgery - risk of hypos

6 replies

Sarahlp101 · 17/01/2024 16:35

Can I check please if there is any information with regards to managing hypos when nil by mouth before surgery? No guidance appears to be straightforward with regards to cut off points etc (if attending as an outpatient, therefore not cannulated)
It might be just me though:)

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Sarahlp101 · 17/01/2024 18:59

Hopeful bump for the evening crowd:)

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HappyHamsters · 17/01/2024 19:01

What are you having done, does it say you need to be nbm, are you on insulin, the pre op nurse or doctor should advise you.

Aak · 17/01/2024 19:21

You should have been advised on reduction in medication doses.
The team should be aware of diabetes and you should have been listed early, and your sugar will be checked.
Clear fluid with glucose will be in the hospital hypo pack which may not affect fasting guidance. Otherwise glucose tablets and other forms may change your nbm status.

Sarahlp101 · 17/01/2024 19:24

Thank you for your reply:) I'm trying to come up with some basic guidance for patients undertaking a short anaesthesia..I know that conditions need to be specifically managed with regards to medication etc, but struggling to find anything concrete for managing hypoglycaemia

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HappyHamsters · 17/01/2024 19:49

Are you asking as a professional, bm would br monitored, medications reviewed, iv fluids, dextrose, glucogel, glucagon and review the need for nbm. I'd have thought the same treatment as for any hypo in hospiral, the diabetes UK site has info on hospital management and I would think the diabetic team to have up to date information.

Sarahlp101 · 17/01/2024 21:00

Thank you for your responses:) I am a professional working in a small clinic with regards to treatment which involves GA. I am trying to get a basic plan in place (before getting approval from the anesthetist department) to then build upon for patients
Many patients are outpatients so would be self managed before attending the clinic..have looked through.so many guidelines but feel I must be missing something! Contacting specialist diabetic dept is a good idea :)

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