The endocrinologist gap: Managing diabetes patients in absence of a specialist

Author:

Ahmed Nabeel1,Ingelmo Pablo23ORCID

Affiliation:

1. Faculty of Medicine and Health Sciences McGill University Montreal Quebec Canada

2. Division of Pediatric Anesthesia Montreal Children's Hospital Montreal Quebec Canada

3. Department of Anesthesia McGill University Montreal Quebec Canada

Abstract

AbstractThe treatment of pediatric patients with diabetes is frequently orchestrated within a multidisciplinary framework at tertiary, specialized institutions. In situations where emergent surgery is indicated or when a procedure is scheduled in a facility devoid of an endocrinology service, the onus of managing perioperative glycemic levels may rest with the attending anesthesiologist. The objective of this review is to furnish a comprehensive examination of the anesthetic considerations and perioperative governance of pediatric patients with diabetes. Furthermore, this paper delineates a streamlined protocol for perioperative glycemic control, tailored to both major and minor surgical interventions.

Publisher

Wiley

Reference11 articles.

1. Diagnosis and Classification of Diabetes Mellitus

2. Increasing Incidence of Type 1 and Type 2 Diabetes Among Canadian Children

3. Comparison of the efficacy and safety of metformin‐based combination therapy versus metformin alone in children and adolescents with type 2 diabetes mellitus: a meta‐analysis;Khan RA;Cureus,2023

4. Perioperative Management of Pediatric Surgical Patients with Diabetes Mellitus

5. Diabetes mellitus and the pediatric anesthetist

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