Postoperative management

A. Monitoring of blood glucose must continue postoperatively.

Oral Hypoglycemia Agents

Drug

Onset

Peak

Duration

(hrs)

(hrs)

(hrs)

Sulfonylurea

Tolbutamide

0.5-1

1-3

6-24

Glipizide

0.25-0.5

1-2

12-24

Glipizide XL

1-4

6-12

24-48

Acetoheximide

1-2

8-10

12-24

Tolazamide

4-6

4-6

10-24

Glyburide

0.25-1

1-3

12-24

Chlorpropamide

1-2

3-6

24

Thiazolidinedione

Pioglitazone

1

24

Biguanide

Glucophage

1

8-12

Meglitinide

Repaglinide

0.25

6-7

D-Phenylalanine

Derivative

0.25

3-4

Netaglinide

Insulin Agents

Drug

Onset

Peak

Duration

(hrs)

(hrs)

(hrs)

Short-Acting

Lispro

5-15 min

1

4-5

Regular

0.5-1

2-3

5-7

Actrapid

0.25-0.5

1-3

5-7

Velosulin

0.25-0.5

1-3

5-7

Semilente

0.5-1

4-7

18-24

Semitard

0.5-1

4-6

12-16

Intermediate-

Acting

1-2.5

8-12

18-24

Lente

1-2.5

8-12

18-24

Lentard

1-1.5

4-12

18-24

NPH

Long-Acting

Ultralente

4-8

16-18

36

Ultratard

4-8

12-18

36

PZI

4-8

14-24

36

Glargine

1-2

(none)

24

Pheochromocytoma (catecholamine excess)

1. Definition: catechol-secreting tumors usually located in an adrenal gland. Most pheochromocytomas produce both norepinephrine and epinephrine. Endogenous catecholamine levels should return to normal levels within 1-3 days after successful removal of the tumor. Overall mortality: 0-6%.

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Diabetes 2

Diabetes 2

Diabetes is a disease that affects the way your body uses food. Normally, your body converts sugars, starches and other foods into a form of sugar called glucose. Your body uses glucose for fuel. The cells receive the glucose through the bloodstream. They then use insulin a hormone made by the pancreas to absorb the glucose, convert it into energy, and either use it or store it for later use. Learn more...

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