41 y/o male scheduled for foot amputation. BS = 400's on floor.

nurses gave 14 units SQ regular insulin. 1hr later BS = 300's
nurses gave 12 more units SQ regular insulin - pt goes to Preop.

In preop - BS 67. 1/2 amp D50 given -- followed by BS = 102.

In OR 1 hr later BS = 42. 1amp D50 given followed by IV D5W. surgery goes fine.

questions?
concerns?

what would you have done?

Does hyperglycemia bother you preoperatively? why?