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World J Diabetes. Sep 15, 2019; 10(9): 481-484
Published online Sep 15, 2019. doi: 10.4239/wjd.v10.i9.481
Another simple regimen for perioperative management of diabetes mellitus
M.S. Raghuraman, Priyanka Selvam, Srividya Gopi
M.S. Raghuraman, Priyanka Selvam, Srividya Gopi, Department of Anesthesiology, Sri Venkateshwaraa Medical College Hospital and Research Centre, Puducherry 605102, India
Author contributions: Raghuraman MS contributed to designing the regimen, critically analyzing the references, writing the paper (Major contribution), revising the paper, and responsible for the entire intellectual content. Selvam P and Gopi S Minor contribution to writing the paper.
Conflict-of-interest statement: The authors have declared no conflicts of interest.
Open-Access: This is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Corresponding author: M.S. Raghuraman, MD, Professor, Department of Anesthesiology, Sri Venkateshwaraa Medical College Hospital and Research Centre,13-A Pondy-Villupuram Main Road,Ariyur,Puducherry605102, India. raghuramanms@svmcpondy.com
Telephone: +91-637-9141854
Received: May 2, 2019
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
Abstract

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.

Keywords: Diabetes mellitus, Insulin therapy, Perioperative management, Simple regimen

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.