只用飲食控制治療的第二型糖尿病

這位病人不屬於單純用飲食控制糖尿病的病人但我還是快速的解釋一下這類病人需要做的處
置。 這些病人需要在術前和和術後檢測血糖，除非血糖超標，通常不需要任何治療。如果血
糖超標的話，可以考慮每六個小時給予 short- (eg, regular) 或 rapid-acting (eg, lispro, aspart, or
glulisine) insulin 改善血糖。
如果手術時間比較長或手術會造成高血糖（例如冠狀動脈搭橋術，或配合類固醇使用的器官移
植手術等), 必須每隔一兩個小時測量病人的血糖。 如果病人是 critical, hypotensive 或有服用
vasopressor agents, finger glucose testing (手指葡萄糖測試?) 不足夠, 必須送血去檢驗。

Type 2 diabetes treated with diet alone —

 Blood glucose levels should be checked preoperatively and soon after the surgery.
 Generally do not require any therapy perioperatively.
 If glucose levels rise over the desired target, supplementary short- (eg, regular) or rapid-
acting (eg, lispro, aspart, or glulisine) insulin may be given as correction insulin every six
hours.
 For long surgeries (more than two hours) or surgeries associated with expected high
glucose levels (eg, coronary artery bypass grafting, organ transplants with steroid use)
o intraoperative glucose testing every one to two hours via finger glucose or lab testing
 laboratory testing should be used in patients who are critically ill, are on vasopressor
agents, or hypotensive
o Intravenous (IV) solutions do not require dextrose if insulin is not given.