Perioperative glucose control in the diabetic or nondiabetic patient.

Full Abstract

Patients with diabetes are more likely to undergo surgery than nondiabetics, and maintaining glycemic control in subjects with diabetes can be challenging during the perioperative period. Surgery in diabetic patients is associated with longer hospital stay, higher health care resource utilization, and greater perioperative mortality. In addition, several observational and interventional studies have indicated that hyperglycemia is associated with adverse clinical outcomes in surgical and critically ill patients. This paper reviews the pathophysiology of hyperglycemia during trauma and surgical stress and will provide practical recommendations for the preoperative, intraoperative, and postoperative care of diabetic patients.

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Author information

Author/s: Smiley, Dawn D (DD); Umpierrez, Guillermo E (GE);

Affiliation: Division of Endocrinology, Metabolism and Lipids, Emory University School of Medicine, Atlanta, GA 30303, USA.

Journal and publication information

Publication Type: Journal Article; Review

Journal: Southern medical journal (South Med J), published in United States. (Language: eng)

Reference: 2006-Jun; vol 99 (issue 6) : pp 580-9; quiz 590-1

Dates: Created 2006/06/27; Completed 2006/07/28;

PMID: 16800413, status: MEDLINE (last retrieval date: 12/26/2008)

Sourced from the National Library of Medicine. Abstract text and other information may be subject to copyright.

Comments and Corrections

CommentIn: South Med J. 2006 Jun;99(6):557-8. (PMID: 16800407)

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MeSH headings (categories)

This article was linked to the MESH Headings shown below.

Blood Glucose - analysis
Comorbidity
Coronary Artery Bypass
Diabetes Mellitus - epidemiology
Fatty Acids, Nonesterified - blood
Hypoglycemic Agents - administration & dosage
Infusions, Intravenous
Insulin - administration & dosage

Insulin - administration & dosage
Intraoperative Period
Kidney Failure - epidemiology
Postoperative Complications - epidemiology
Postoperative Period
Surgical Procedures, Operative
Surgical Wound Infection - physiopathology
Wound Healing - physiology

Associated Chemicals: Blood Glucose (0) ; Fatty Acids, Nonesterified (0) ; Hypoglycemic Agents (0) ; Insulin (11061-68-0)

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