Is There a Role for Diabetes Stewardship in Orthopaedics? Observations From a Hand and Upper Extremity Surgery Clinic

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Observational analysis finds high rates of uncontrolled diabetes in surgical clinic patients, suggesting timely glucose management enhances outcomes.

Patients with elevated blood glucose levels faced delays in corticosteroid treatments and were referred for glucose management.
Among 207 patients tested, 39.1% had POC BG over 150 mg/dL, and 72.8% followed up with their medical provider in a timely manner.
Successful follow-up resulted in a significant reduction in hemoglobin A1C by 0.40%, unlike those who did not follow up who saw an increase.
The study highlights the importance of diabetes screening before corticosteroid injections for overall patient health.

Cheng et al. (2025) studied this question.

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View Full Paper

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Authors

Observational analysis finds high rates of uncontrolled diabetes in surgical clinic patients, suggesting timely glucose management enhances outcomes.

Patients with elevated blood glucose levels faced delays in corticosteroid treatments and were referred for glucose management.
Among 207 patients tested, 39.1% had POC BG over 150 mg/dL, and 72.8% followed up with their medical provider in a timely manner.
Successful follow-up resulted in a significant reduction in hemoglobin A1C by 0.40%, unlike those who did not follow up who saw an increase.
The study highlights the importance of diabetes screening before corticosteroid injections for overall patient health.

Cheng et al. (2025) studied this question.

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