Diabetes Clinical Management Guidelines Cardiac catheterisation

1
Diabetes Clinical Management GuidelinesCardiac
catheterisation Device implantsMORNING
APPOINTMENT
Identify Diabetic patients when seen in pre
assessment clinic.Schedule 1st or 2nd on
morning listDriving Daycase patients should be
told not to drive to or from the
hospital.Advise Omit Metformin on the day of
the procedure and for two days post procedure.
Patients to check their
blood glucose (if performing) before leaving
home/ward. Patients to bring their insulin or
diabetic tablets. Patient to bring their blood
glucose meter and test strips (if available).
Day of procedure
Morning No food on morning of procedure. OMIT
all usual diabetic medication. Clear fluids up to
3 hrs before procedure.
Proceed to Cardiac catheterisation
Post procedure
Light snack and fluids unless otherwise
indicated. CSU staff to check blood sugar see
above for advice on results.
Type 1/Type 2 on insulin Non-sedated Give usual
morning insulin with breakfast/snack. Sedated Basa
l bolus regimen take usual lunchtime rapid
acting insulin dose. (Note if on morning lantus
or levemir insulin take 2/3 usual morning dose as
well as rapid insulin). Three times daily
regimen take 2/3 usual morning dose. Twice daily
regimen take 2/3 of usual morning dose.
Type 2 (diet / oral agents) Non-sedated Give
usual morning diabetic tablet(s) with
breakfast. Sedated Give usual morning diabetic
tablet(s) at lunchtime.
Discharge/return to ward if uneventful recovery.
Advise ALL patients to omit Metformin for 2 days
but CONTINUE other diabetic medication.