Surgery delayed: protect insulin continuity
Educational use only. Not clinically reviewed42-year-old woman for Preoperative insulin continuity, individualized fasting care, reassessment, and handoff. About 60 simulated minutes.
What you will practise
- Recognize interrupted insulin delivery during prolonged fasting.
- Restore verified insulin coverage even while the patient is fasting.
- Coordinate fasting, monitoring, and the revised surgical plan.
- Distinguish a glucose check from a complete reassessment.
- Hand off ongoing insulin delivery and perioperative surveillance.
Review and sources
Not clinically reviewed. No clinician has signed this scenario.
- American Diabetes Association Professional Practice Committee. Diabetes Care in the Hospital: Standards of Care in Diabetes—2026. Diabetes Care. 2026;49(Suppl 1):S339–S355. doi:10.2337/dc26-S016. Type 1 Diabetes and Perioperative Care: basal coverage while fasting, individualized device and medication plans, and point-of-care monitoring. No dose schedule is reproduced.
- Levy NA, El-Boghdadly K, Lobo DN, et al. Peri-operative management of diabetes mellitus: a multidisciplinary consensus statement from the Association of Anaesthetists and the Joint British Diabetes Societies for Inpatient Care group. Anaesthesia. 2026;81(8):1116–1131. doi:10.1111/anae.70181. Table 3, Box 1, and postoperative handover sections: prompt alternative insulin after delivery disruption, device suitability, and continuing-care ownership. Authored clocks are not clinical kinetics.
Open Sim Lab is an educational simulator, not for clinical use. It is not a clinical decision-support tool, not a dosing calculator, and is not validated for any decision affecting a real patient.