Q:

A T2DM is undergoing a gastric surgery. What is the most appropriate pre-operative management?

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A T2DM is undergoing a gastric surgery. What is the most appropriate pre-operative management?


  1. Start him in IV insulin and glucose and K+ just before surgery
  2. Stop his oral hypoglycemic on the day of the procedure
  3. Continue regular oral hypoglycemic
  4. Stop oral hypoglycemic the prv night and start IV insulin with glucose and K+ before surgery
  5. Change to short acting oral hypoglycemic

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The key is D. Stop oral hypoglycemic the prv night and start IV insulin with glucose and K+ before Surgery.

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