Question of Week | Type 1 Needs Surgery

MS is 63, has type 1 diabetes, and will be having knee surgery.  In addition to using an insulin pump and CGM to manage their type 1 diabetes, MS also takes empagliflozin (Jardiance) 25 mg daily to improve glucose levels.

In preparation for the upcoming surgery, which of the following is an accurate statement?

  1. Transition to insulin injections in preparation for surgery.
  2. Maintain perioperative glucose between 80-110.
  3. Stop empagliflozin (Jardiance) 3 days prior to surgery.
  4. Reduce basal insulin by half the night before surgery.

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Glucose control in the hospital matters! This course provides participants with a step-by-step approach to safely and effectively implement Basal Bolus Insulin Therapy in the inpatient setting. We discuss appropriate insulin dosing based on the patient’s clinical presentation and apply dosing strategies to a variety of case studies. Included are hard-to-manage situations that commonly occur in hospital settings and a discussion of solutions that will keep patients safe and get glucose levels to goal. In addition, sample basal/bolus and insulin drip guidelines plus lots of resource articles are included. 

Topics Include:

  • Discussing appropriate insulin dosing based on the patient’s clinical presentation
  • Applying dosing strategies to a variety of case studies
  • Introduce hard-to-manage situations that commonly occur in hospital settings
  • A discussion of solutions that will keep patients safe and get glucose levels to goal
  • Sample basal/bolus and insulin drip guidelines plus lots of resource articles are included

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