مريض سكري قبل عملية صباحية، صائم من منتصف الليل، ويأخذ إنسولين قاعدي ليلاً. ما التوقع المعتاد بخصوص الإنسولين؟

A diabetic client fasting from midnight for morning surgery takes basal insulin at night. What is the usual expectation about insulin?

1. Double the basal dose because of stress
2. Stop all insulin for days before surgery
3. Part of the basal dose per protocol with glucose checks
4. Give the usual full rapid-acting dose while he is fasting

Answer: C) Part of the basal dose per protocol with glucose checks. Basal insulin is usually reduced (e.g. to 75–80%) before surgery, rapid-acting is held while fasting, glucose is checked every 1–2 hours and an infusion used if needed.