Perioperative Management of Diabetes Mellitus: Novel Approaches

Nadine E. Palermo, Rajesh Garg

Research output: Contribution to journalReview articlepeer-review

13 Scopus citations

Abstract

Purpose of Review: Several studies have demonstrated the benefits of glycemic control in the perioperative period and there is ongoing interest in development of systematic approaches to achieving glycemic control. This review discusses currently available data and proposes a new approach to the management of hyperglycemia in the perioperative period. Recent Findings: In a recent study, we demonstrated that early preoperative identification of patients with poorly controlled diabetes and proactive treatment through various phases of surgery improves glycemic control, lowers the risk of surgical complications, and decreases the length of hospital stay. Summary: Implementation of a perioperative diabetes program that systematically identifies and treats patients with poor glycemic control early in the preoperative period is feasible and improves clinical care of patients undergoing elective surgery.

Original languageEnglish (US)
Article number14
JournalCurrent diabetes reports
Volume19
Issue number4
DOIs
StatePublished - Apr 1 2019

Keywords

  • Diabetes mellitus
  • Hyperglycemia
  • Perioperative treatment
  • Stress hyperglycemia
  • Surgery outcomes

ASJC Scopus subject areas

  • Internal Medicine
  • Endocrinology, Diabetes and Metabolism

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