Key result
Preoperative diabetes management linked to ~50% fewer hypoglycemic episodes and improved day-of-surgery blood glucose.
Why the study?
Does proactive preoperative diabetes management improve glycemic control and clinical outcomes in patients with diabetes undergoing elective surgery?
Population
3,909 patients with diabetes undergoing first elective surgery out of a total 31,392 surgical patients.
Comparison
Proactive preoperative and inpatient diabetes… vs Standard care before implementation of the program
Design
Cohort
Follow-up
in-hospital
Authors
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May support preoperative diabetes optimization for better perioperative glycemia; leaves open effects on clinical outcomes pending randomized trials.
Observational (n=3,909)
Does proactive preoperative diabetes management improve glycemic control and clinical outcomes in patients with diabetes undergoing elective surgery?
Absolute Event Rate: 139.9% vs 146.4%
p-value: p=0.0028
Preoperative and inpatient diabetes management significantly improves perioperative glycemic control and reduces hypoglycemia, with a marginal decrease in length of hospital stay.
Garg et al. (2017) conducted an observational in Diabetes undergoing elective surgery (n=3,909). Preoperative and inpatient diabetes management program vs. Usual care (before program implementation) was evaluated on Mean blood glucose on the day of surgery (mg/dL) (p=0.0028). Preoperative diabetes management improved mean blood glucose on the day of surgery (139.9 vs 146.4 mg/dL; P=0.0028) and reduced hypoglycemic episodes (2.48% vs 4.93%; P<0.0001).
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