%0 Journal Article
%T The endocrinologist gap: Managing diabetes patients in absence of a specialist.
%A Ahmed N
%A Ingelmo P
%J Paediatr Anaesth
%V 0
%N 0
%D 2024 Jun 18
%M 38887922
%F 2.129
%R 10.1111/pan.14948
%X The treatment of pediatric patients with diabetes is frequently orchestrated within a multidisciplinary framework at tertiary, specialized institutions. In situations where emergent surgery is indicated or when a procedure is scheduled in a facility devoid of an endocrinology service, the onus of managing perioperative glycemic levels may rest with the attending anesthesiologist. The objective of this review is to furnish a comprehensive examination of the anesthetic considerations and perioperative governance of pediatric patients with diabetes. Furthermore, this paper delineates a streamlined protocol for perioperative glycemic control, tailored to both major and minor surgical interventions.