Interviewee: Barbara Depczynski
James talks to Dr Barbara Depczynski, Endocrinologist, about BSL monitoring, hypoglycaemics and insulin in the perioperative setting.
Barbara Depczynski is a senior staff specialist in endocrinology at Prince of Wales Hospital. Barbara’s major interests are type 2 diabetes, inpatient diabetes management, pituitary disease and PCOS. Barbara Depczynski serves on ACI In Hospital Diabetes Management Working Group. She is involved with both under graduate and post graduate teaching.
With Dr Barbara Depczynski, Senior Staff Specialist in Endocrinology at Prince of Wales Hospital, New South Wales, Australia
Diabetes is very common amongst hospital inpatients, and both hypoglycaemia and hyperglycaemia can be associated with adverse outcomes.Glycaemic management is an important part of optimising perioperative patient care.
Case 1 – Miss Smith is a 30 year old female who presents to the emergency department with appendicitis, on a background of Type 1 diabetes mellitus. She is planned for an appendectomy and is now nil by mouth.
Case 2 – Mr Jones is a 70 year old gentleman who is planned for an elective total knee replacement. He has a background of Type 2 diabetes controlled with metformin and gliclazide MR.
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