Peri-operative blood glucose management in general surgery - a potential element for improved diabetic patient outcomes - an observational cohort study

International Journal of Surgery
M McCavertM E O'Donnell

Abstract

Hyperglycaemia impairs many of the physiological processes involved in recovery from surgery but there is limited research on the effect of optimal peri-operative glucose control in diabetic general surgery patients. The objectives of this study were to assess blood glucose management in diabetic general surgical patients and to determine if protocol deviations were associated with adverse outcomes. All diabetic patients undergoing elective and emergency general surgical procedures between August 2007 and July 2008 were included in the study. The hospital protocol for peri-operative blood glucose control was based on the Alberti Regimen. Data was collected regarding blood glucose measurements, adherence to protocol and complications following surgery. A total of 69 adult patients (M = 44, F = 25; median age 61, range 15-93 years; T1DM = 35, T2DM = 34) were included. 38 patients underwent elective surgery (cholecystectomy, hernia repair, varicose vein surgery) and 31 underwent emergency surgical procedures (laparotomy, incision and drainage of abscess). 10.3% of capillary blood glucose readings were less than 6.1 mmol/l, 32.8% were between 6.1 and 10.0 mmol/l, 44.6% were greater than 10.0 mmol/l 12.3% of scheduled blood glucose ...Continue Reading

References

Jul 1, 1979·British Journal of Anaesthesia·K G Alberti, D J Thomas
Jan 5, 2002·Infection Control and Hospital Epidemiology : the Official Journal of the Society of Hospital Epidemiologists of America·R LathamC S Thomas
Jan 17, 2002·The New England Journal of Medicine·G van den BergheR Bouillon
Nov 9, 2006·Anaesthesia·H J Robertshaw, G M Hall
Dec 29, 2006·Diabetes Care·UNKNOWN American Diabetes Association
Jun 10, 2008·Diabetes Care·David M NathanUNKNOWN A1c-Derived Average Glucose Study Group
Aug 12, 2009·The Medical Clinics of North America·Benjamin A Kohl, Stanley Schwartz

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Citations

Feb 14, 2016·British Journal of Anaesthesia·M J JacksonUNKNOWN NWRAG Peri-Op Diabetes Audit Group
Jun 17, 2015·Surgery Research and Practice·Sivakumar Sudhakaran, Salim R Surani
Jul 26, 2018·The New England Journal of Medicine·Ira L LeedsLisa S Lehmann

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