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Management of type 1 diabetes and perioperative fasting

The standards document of The National Service Framework for Diabetes has recognised that inpatient management of diabetic patients is often inadequate (Department of Health, 2001). Suggestions to improve care included enhanced communication with patients, improved liaison with hospital diabetes teams (particularly the inpatient diabetes specialist nurse) and implementation of locally agreed evidence-based guidelines. Management of diabetic patients around the time of surgery lends ...

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