Attenuating The Post-Operative Insulin Resistance And Promoting Protein Anabolism

Inclusion Criteria: 1. Elective open anatomic lung resections: segmentectomy, lobectomy, bi-lobectomy 2. Colorectal surgery for non-metastatic disease (including right, transverse, left, sigmoid, subtotal, total, and hemicolectomy) 3. Primary or secondary lung cancer 4. At least 18 years of age with 5. HbA1c 5.7- 6.5 % 6. Not receiving any kind of glucose lowering medication. Exclusion Criteria: 1. Already diagnosed with diabetes (Hb A1c \> 6.5%) 2. Are pre-diabetic receiving glucose lowering intervention ( any glucose lowering medication) 3. Have renal or liver dysfunction (serum creatinine above 124 micromol/L in women and 133 micromol/L in men, bilirubin \>50 micromol/L) 4. will undergo extended resection of adjacent organs, chest wall resections, bronchoplasty, non-anatomic lung resections 5. Will undergo Pneumonectomy 6. Non-elective operations 7. Have mental conditions (e.g. dementia, disabling orthopedic and neuromuscular disease, psychosis), 8. Have cardiac abnormalities, severe end-organ disease such as cardiac failure (New York Heart Association classes III-IV), Chronic obstructive pulmonary disease(COPD), sepsis, morbid obesity (BMI \>40 kg/m2), anemia (hematocrit \< 30 %, hemoglobin \<100g/L albumin \< 25mg/dl) 9. Have received steroids for longer than 30 days 10. Have poor English or French comprehension.