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Paediatric Anaesthesia

Tutorial 402

Perioperative Management of Infants and Children With Diabetes

Hannah Lewis1†

1ST6 Anaesthetics, The Royal London Hospital, UK

Edited by: Dr. Anthony Bradley, Consultant Paediatric Anaesthetist, Bristol Royal Hospital for Children, UK

Corresponding author e-mail: hannah.lewis@doctors.org.uk

Supervising Consultants: Dr. Monica Naik, Consultant Paediatric Anaesthetist, and Dr. Ruben H. Willemsen, Consultant Paediatrician, Diabetes and Endocrinology, The Royal London Hospital, UK

Published 16 April 2019

Abstract

Diabetes mellitus is the most common endocrine disorder in children. The peri-operative period can disrupt glucose control resulting in hypo and hyperglycaemia. Multi-disciplinary management is important to optimise glucose control and minimise complications. Insulin pump therapy is increasing in children and anaesthetists should be familiar with management.