Key result
Unrecognized diabetes affects ~10% of surgical patients, highlighting the need for preoperative screening and management.
Why the study?
Postoperative hyperglycemia increases the risk of poor surgical outcomes, yet remains an ongoing quality gap for surgical patients with and without diabetes.
Perioperative glycemic management and preoperative screening are important to reduce poor postoperative outcomes in surgical patients with or without known diabetes.
May prompt preoperative screening consideration; leaves open outcome benefits without randomized confirmation.
People with diabetes are at an increased risk for worse postoperative outcomes, compared to people without diabetes. Notably, up to one in 10 people who undergo surgery have unrecognized diabetes and an additional 10% may have postoperative hyperglycemia without meeting the criteria for a diagnosis of diabetes. Management of postoperative hyperglycemia has been demonstrated to reduce the incidence of poor outcomes, but evidence demonstrates that postoperative hyperglycemia remains a quality gap for surgical patients. In this review, we will outline the evidence for preoperative screening for postoperative hyperglycemic risk, review the evidence for perioperative glycemic management, and examine the barriers to these best practices.
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Ruzycki et al. (2021) conducted a review in Diabetes and postoperative hyperglycemia. Perioperative glycemic management was evaluated. Up to 10% of surgical patients have unrecognized diabetes and another 10% experience postoperative hyperglycemia, highlighting the need for preoperative screening and perioperative glycemic management.
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