It is a double blinded randomized controlled trial interventional study, examining the effect of carb loading given prior to surgery on preventing post operative insulin resistance in pediatric patients undergoing elective surgery

The tsudy

Inclusion Criteria:

• ASA Physical Status I and II
• Able to tolerate enteral feeding
• Subjects are undergoing surgery with general anesthesia

Exclusion Criteria:

• Subjects consume corticosteroids and insulin
• Subjects have endocrine disorder, gastroesophageal reflux disease and psychiatric disorder
• Subjects are treated with preoperative parenteral nutrition
• The surgical procedure is longer than 4 hours

Drop out Criteria:

- Intraoperative surgical emergency e.g. massive bleeding

The age of participants, glucose level, and insulin level measured will be shared

Data will be available after the completion of the study

Everybody will be able to access the data by personally emailing the study coordinator

Only assessor are blinded to the masking. Participants are asked for consent to receive the intervention