MRCSPart 2 Question of the Day

Theme:Diabetes

A	IV insulin with 5% dextrose
B	No action required
C	SC insulin alone
D	Stop diabetes medication 48 hours before procedure
E	Stop diabetes medication on morning of procedure

A 25-year-old male with diabetes presents on your intake with a perianal abscess. He takes short acting insulin 8 units with meals and long acting insulin 10 units at night. His current blood glucose is 6 mmol/l. You plan to drain this abscess under GA in the morning.

Please select an optionIV insulin with 5% dextroseNo action requiredSC insulin aloneStop diabetes medication 48 hours before procedureStop diabetes medication on morning of procedure

A 75-year-old man with diabetes is admitted for investigations of claudication. He takes metformin 850 mg BD. In general his capillary blood glucoses range between 7-11 mmol/l at home. Your plan is to perform an angiogram before a femoral-popliteal bypass.

Please select an optionIV insulin with 5% dextroseNo action requiredSC insulin aloneStop diabetes medication 48 hours before procedureStop diabetes medication on morning of procedure

A 55-year-old female with diabetes is admitted for wide local excision of a breast lump. She takes gliclazide 80 mg OD. Her blood glucose shows a level of 6.1 mmol/l.

Please select an optionIV insulin with 5% dextroseNo action requiredSC insulin aloneStop diabetes medication 48 hours before procedureStop diabetes medication on morning of procedure

A 55-year-old male who has had diabetes mellitus since the age of eight is being admitted for an anterior resection of the colon in the morning. He takes Mixtard 30 10 units BD. His current capillary blood glucose is 13.7 mmol/l.

Please select an optionIV insulin with 5% dextroseNo action requiredSC insulin aloneStop diabetes medication 48 hours before procedureStop diabetes medication on morning of procedure