Perioperative Management of Diabetes Mellitus: Novel Approaches

Current Diabetes Reports
Nadine E Palermo, Rajesh Garg

Abstract

Several studies have demonstrated the benefits of glycemic control in the perioperative period and there is ongoing interest in development of systematic approaches to achieving glycemic control. This review discusses currently available data and proposes a new approach to the management of hyperglycemia in the perioperative period. In a recent study, we demonstrated that early preoperative identification of patients with poorly controlled diabetes and proactive treatment through various phases of surgery improves glycemic control, lowers the risk of surgical complications, and decreases the length of hospital stay. Implementation of a perioperative diabetes program that systematically identifies and treats patients with poor glycemic control early in the preoperative period is feasible and improves clinical care of patients undergoing elective surgery.

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Citations

Jun 14, 2019·Canadian Journal of Anaesthesia = Journal Canadien D'anesthésie·M S Raghuraman
Jul 3, 2021·Canadian Journal of Diabetes·Ilana HalperinUNKNOWN Canadian Standards for Perioperative/Periprocedure Glycemic Management Expert Consensus Panel
Sep 18, 2021·The Journal of the American Academy of Orthopaedic Surgeons·Daniel H WizniaMelvyn Harrington
Nov 2, 2019·Anaesthesia Critical Care & Pain Medicine·M S RaghuramanM S Iswaryarajan Hercule
Sep 18, 2021·Anaesthesia Critical Care & Pain Medicine·Victoria A EleyAndré A van Zundert

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