Published online Sep 15, 2019. doi: 10.4239/wjd.v10.i9.481
Peer-review started: May8, 2019
First decision: August2, 2019
Revised: August 5, 2019
Accepted: August 13, 2019
Article in press: August 13, 2019
Published online: September 15, 2019
Persons with diabetes who require surgical procedures are increasing day by day. Many of the regimens available to manage patients with diabetes perioperatively are complex. Hence, the junior doctors and the paramedics (Primary care providers on a 24/7 basis) find it difficult to execute them. We need a simple regimen that can be executed in a primary care setting/general floor as it is becoming difficult to accommodate the patients in a sophisticated setting because of the increasing burden of the disease. We suggest a simple regimen in this article (Ram’s regimen) which we believe safer, economical and more effective than few simple regimens available to date. Moreover, this regimen does not require any additional equipment such as syringe pumps, measured-volume set, etc. Hence, this regimen can be implemented in a primary care setting/general floor easily and we hope that it will be useful for doctors of various specialties and their patients.
Core tip: Peri-operative management of diabetes is like walking a tightrope. Complexity of the regimens adds fuel to the fire. We propose a simple regimen, which we believe safer, economical and more effective. “User-friendly” for the primary care providers on 24/7. Executable in a primary care set-up/general floor too, which is becoming inevitable because of the increasing burden of the disease.