Diabetic Insulin Perioperative JBDS — FRCA Final MCQ

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ModeratePreoperative AssessmentDiabetic Insulin Perioperative JBDSFRCA Final

Insulin-dependent T2DM, morning elective cholecystectomy. JBDS insulin management?

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Correct answer: A — Half usual long-acting, omit rapid-acting

JBDS 2022: give 80% of basal (long-acting) insulin, OMIT rapid-acting (fasting). Premixed: 50% morning dose. VRIII only for: >1 missed meal, poorly controlled, major surgery. CBG 6-12 target. First on list.

Reference: JBDS – 2022 – Diabetes perioperative management