What one with diabetes may need to consider before undergoing surgery.

So, there are clear guidance within the UK with regards to perioperative care. There is an organization called GBDS which gives perioperative guidelines with regards to management of diabetes. It depends on your kind of diabetes that would need early recognition and pre-surgical optimization For type 2 diabetes, a lot of patients would have to have their medications reviewed and few medications like SGLT2s being discontinued because they would predispose them to having perioperative complications. And also patients with type 1 diabetes would need to have a plan at the pre-op stage to use different forms of either an insulin delivery mechanism to be agreed with the anesthetist and the surgeon during surgery. So most of these forms of two major kinds would need pre-surgical optimization, otherwise they can lead to high mortality during and after surgery.