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5 Gregg, E.W. et al. Changes in Diabetes-Related Complications in the United States, 1990–2010. N Engl J Med 2014; 370:1514-23. DOI: 10.1056/NEJMoa1310799. 6 Gregg, E. W., et al. Trends in lifetime risk and years of life lost due to diabetes in the USA, 1985-2011: a modelling study. Lancet Diabetes Endocrinol 2014;2:867–874.

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Patients using premixed insulin combinations (70/30, 75/25, 50/50) present more of a challenge in the preoperative period. Premixed insulin formulations consist of intermediate-acting insulin NPH (neutral protamine Hagedorn) combined with rapid or short-acting insulin, and are typically injected twice daily before breakfast and before dinner.