This evidence-based learning activity details the comprehensive management of diabetic patients in ambulatory surgery centers. Designed for perioperative nurses, it covers the entire surgical journey from initial risk assessment and medication management to discharge planning. The content emphasizes maintaining glycemic control within the compressed timeframe of outpatient procedures, outlining specific protocols for preoperative HbA1c thresholds, intraoperative monitoring, pain management, and post-operative care. The learning activity stresses individualized patient education and the importance of thorough discharge planning, while addressing cultural competency and technological considerations in modern diabetes management. Throughout, it balances the need for efficient care delivery with patient safety in the ambulatory setting.