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I used to do a lot of cataracts. Early in my career the preop nurse asked about a 480 blood sugar. I ordered 10u regular IV insulin and delayed the case until blood sugar less than 300. 15 minutes later it was 220. 30 minutes 80. My thought was the machine was off but the nurse could have given the wrong dose. That was the last time I gave insulin preop.
The ambulatory center isn’t a treatment facility. If a patient doesn’t meet discharge criteria preop then they won’t meet it post op. I don’t give insulin for hyperglycemia, labetalol for htn, or reglan/famotidine for full stomachs like some I have seen.
so you just proceed with the case without any treatment?