Glycemic Management in the Operating Room: Screening, Monitoring, Oral Hypoglycemics, and Insulin Therapy

Purpose of Review This review provides a literature update and practical outline for the management of diabetes and stress hyperglycemia for adult surgical patients in the pre- and intraoperative settings. Recent Findings Hyperglycemia in surgical patients has been associated with increased risk of...

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Bibliographic Details
Published in:Current diabetes reports 2019-11, Vol.19 (11), p.134-13, Article 134
Main Authors: Duggan, Elizabeth, Chen, York
Format: Article
Language:English
Subjects:
Adult
Blood Glucose
Diabetes
Diabetes Mellitus - drug therapy
Female
Glucose
Hospital Management of Diabetes (A Wallia and JJ Seley
Humans
Hyperglycemia
Hypoglycemia
Hypoglycemic Agents - therapeutic use
Insulin
Insulin - therapeutic use
Intraoperative Care
Male
Medicine
Medicine & Public Health
Middle Aged
Operating Rooms
Recovery (Medical)
Section Editors
Steroids
Surgery
Surgical Procedures, Operative
Topical Collection on Hospital Management of Diabetes
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Summary:Purpose of Review This review provides a literature update and practical outline for the management of diabetes and stress hyperglycemia for adult surgical patients in the pre- and intraoperative settings. Recent Findings Hyperglycemia in surgical patients has been associated with increased risk of complication in both diabetic and non-diabetic patients in the perioperative setting. While current recommended perioperative blood glucose target is
ISSN:1534-4827
1539-0829
DOI:10.1007/s11892-019-1277-4