Inpatient Glycemic Protocol for Patients with Diabetes Undergoing Bariatric Surgery

Obesity Surgery
Karolina MachnicaMary Ann Emanuele

Abstract

Bariatric surgery is a recommended treatment for diabetes in severely obese patients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist. We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days. The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients. Patients are offered post-discharge recommendations using the inpatient glycemic protocol. We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.

References

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Citations

Dec 5, 2020·Surgery for Obesity and Related Diseases : Official Journal of the American Society for Bariatric Surgery·Laurent Genser
Aug 12, 2019·Journal of Visceral Surgery·F GaltierUNKNOWN DIAMS study group

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