Perioperative challenges in management of diabetic patients undergoing non-cardiac surgery

Table 2 Insulin treatment on the day of surgery

Insulin types	Regiment on the day of surgery
Lantus/Toujeo, Tresiba, Levemir (long-acting insulins)	Half dose of normal in the morning of surgery
NPH-insulin (intermediate insulin)	Half dose of normal in the morning of surgery
Inulin aspart protamine, insulin aspart; Insulin lispro protamine, insulin lispro; Insulin neutral protamine hagedorn and insulin regular (all mixed insulin)	Depending to the blood glucose: If > 200 mg/dL: Take half of the normal dose in the morning; If < 200 mg/dL: No insulin
All models of insulin pumps: Endocrinology consult recommended, except patient ambulatory	Basal rate until operation, continue with iv insulin during surgery