Takes Oral Hypoglycemic

• No solids after midnight the night before operation.
• Clear liquids (apple juice/black coffee/tea/water) OK up to 2 hrs. before check-in time.
• Do not take DM pills on the morning of surgery.

Uses Insulin, Check-in Time Before 10am

• No solids after midnight the night before operation.
• Clear liquids (apple juice/black coffee/tea/water) OK up to 2 hrs. before check-in time.
• Do not take insulin on the morning of operation. Give insulin when patient arrives to hospital.

Uses Insulin, Check-in Time At or After 10am

Either:

• Follow instruction from your doctor who normally treats your diabetes

• No solids after midnight the night before operation. Clear liquids OK up to 2 hrs before check-in time.
• Drink 6 oz of clear apple juice before 8:30 a.m. the morning of your operation
• After taking apple juice, take insulin as follows:
• Add the usual doses of Regular and NPH/Lente together, then divide by two.
• Take this amount (half usual total dose) on the morning of surgery as NPH or Lente.

DO NOT TAKE INSULIN UNTIL HAVE TAKEN 6 OZ OF APPLE JUICE

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