Careful perioperative glycemic management in diabetic patients may reduce morbidity and mortality and improve surgical outcomes, though no consensus strategy currently exists.
Careful glycemic management in perioperative diabetic patients is critical to reduce morbidity and mortality and improve surgical outcomes.
Management of glycemic levels in the perioperative setting is critical, especially in diabetic patients. The effects of surgical stress and anesthesia have unique effects on blood glucose levels, which should be taken into consideration to maintain optimum glycemic control. Each stage of surgery presents unique challenges in keeping glucose levels within target range. Additionally, there are special operative conditions that require distinctive glucose management protocols. Interestingly, the literature still does not report a consensus perioperative glucose management strategy for diabetic patients. We hope to outline the most important factors required in formulating a perioperative diabetic regimen, while still allowing for specific adjustments using prudent clinical judgment. Overall, through careful glycemic management in perioperative patients, we may reduce morbidity and mortality and improve surgical outcomes.
Sudhakaran et al. (Thu,) conducted a review in Diabetes mellitus in the perioperative setting. Perioperative glucose management was evaluated. Careful perioperative glycemic management in diabetic patients may reduce morbidity and mortality and improve surgical outcomes, though no consensus strategy currently exists.