Current practice in the perioperative management of patients with diabetes mellitus: a narrative review
Kieran Crowley, Pádraig Ó Scanaill, Jeroen Hermanides, Donal J. Buggy
Abstract
The prevalence of diabetes is increasing, and patients with diabetes mellitus have both an increased likelihood of requiring surgery and of developing postoperative complications when they do. We summarise available evidence underpinning current guidelines on preoperative assessment and optimisation, perioperative management of prescribed insulin and oral hypoglycaemic medication, intraoperative glycaemic control, and postoperative patient care.
Topics & Concepts
MedicineDiabetes mellitusPerioperativeIntensive care medicineUnderpinningDiabetes managementClinical PracticeNarrative reviewGeneral surgerySurgeryType 2 diabetesPhysical therapyEndocrinologyCivil engineeringEngineeringHyperglycemia and glycemic control in critically ill and hospitalized patientsCardiac, Anesthesia and Surgical OutcomesBariatric Surgery and Outcomes