This review discusses the impact of diabetes and hyperglycemia on cardiac surgery outcomes and outlines strategies for perioperative glycemic management.
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Warrants vigilance for hyperglycemia in cardiac surgery; leaves open optimal perioperative strategies for prospective trials.
Both diabetes mellitus and hyperglycemia per se are associated with negative outcomes after cardiac surgery. In this article, we review these associations, the possible mechanisms that lead to adverse outcomes, and the epidemiology of diabetes focusing on those patients requiring cardiac surgery. We also examine outpatient and perioperative management of diabetes with the same focus. Finally, we discuss our own efforts to improve glycemic management of patients undergoing cardiac surgery at our institution, including keys to success, results of implementation, and patient safety concerns.
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Pingle Reddy (2014) studied this question.
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