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Australian Diabetes Society (ADS) and the Australian and New Zealand College of Anaesthetists & Faculty of Pain Medicine (ANZCA).  \nANZCA Peri-operative Diabetes Working Party  \nADS  \nA/Professor Glynis Ross (Chair)  \nA/Professor Steve Stranks Dr Tien Lee (scribe)  \nANZCA  \nDr Roger Traill Professor David Story Dr Nathan Davis  \nDr Judy Killen  \nEditing assistance:  \nDr Shantha Joseph (ADS)  \nDr Amy Lawrence (ANZCA)  \nDr Arianne Sweeting (ADS)  \nTable of Contents  \n1.1 Primary Referral Process .............................................................................................................................................................................. 6  \n1.2 Pre-operative Management ..................................................................................................................................................................... 6  \n1.3. Intra-operative Management .................................................................................................................................................................. 8  \n1.4. Post-operative Management ................................................................................................................................................................... 8  \n2.1 Person Centred Care ..................................................................................................................................................................................... 10  \n2.2 Definitions ........................................................................................................................................................................................................... 10  \n2.3 Acronyms ............................................................................................................................................................................................................. 10  \n3.1 Diabetes Mellitus and Surgery ................................................................................................................................................................ 12  \n3.2 Diabetes as a Multi-system Disease ..................................................................................................................................................... 12  \n3.2.1 Cardiovascular disease .............................................................................................................................................................. 14  \n3.2.2 Peripheral arterial disease ....................................................................................................................................................... 14  \n3.2.3 Renal disease ................................................................................................................................................................................... 14  \n3.2.4 Diabetic retinopathy .................................................................................................................................................................. 14  \n3.2.5 Neuropathy ...................................................................................................................................................................................... 15  \n4.0 Document Map By Demarcation of Roles ...................................................................................................................................... 15  \n5.1 Primary Referral ................................................................................................................................................................................................ 15  \n5.2 Pre-operative Optimisation of Glycaemic Control ..................................................................................................................... 16  \n5.2.1 Assessm","cbCair6M8t9Gmwll","https://ap.wps.com/l/cbCair6M8t9Gmwll","pdf",2048369,55,"English","# Primary Referral Process\n## Pre-operative Management\n## Intra-operative Management\n## Post-operative Management\n# Person Centred Care\n## Definitions\n## Acronyms\n# Diabetes Mellitus and Surgery\n## Diabetes as a Multi-system Disease\n## Cardiovascular disease\n## Peripheral arterial disease\n## Renal disease\n## Diabetic retinopathy\n## Neuropathy\n# Document Map By Demarcation of Roles\n## Primary Referral\n## Pre-operative Optimisation of Glycaemic Control\n# Assessment\n## HbA1c\n## Preoperative Optimisation of HbA1c >75 mmol/mol (9.0%)\n## Insulin Sensitivity Factor (IS F)\n## Hypoglycaemia Unawareness\n# Fasting\n## Oral fluids\n## Non-insulin anti-hyperglycaemic medications\n## Insulin regimen (except insulin pumps)\n## Driving\n# Intravenous fluids","[{\"question\":\"What is the document’s primary focus across the perioperative period for adults with diabetes?\",\"answer\":\"It provides structured perioperative guidance spanning primary referral, pre-operative optimisation, fasting and medication considerations, intra-operative management, and post-operative care.\"},{\"question\":\"How does the guideline recommend assessing glycaemic control before surgery?\",\"answer\":\"It includes assessment and HbA1c evaluation, with specific optimisation pathways for HbA1c above 75 mmol/mol (9.0%), along with consideration of insulin sensitivity and hypoglycaemia unawareness.\"},{\"question\":\"What fasting-related topics are addressed for perioperative diabetes management?\",\"answer\":\"The guideline covers fasting with subtopics including oral fluids, non-insulin anti-hyperglycaemic medications, insulin regimens (excluding insulin pumps), and driving considerations.\"}]","Perioperative Diabetes and Hyperglycaemia Guidelines (Adults) - Guideline | PDF",1790524804,139]