Current practice in the perioperative management of patients with diabetes mellitus: a narrative review

Kieran Crowley; P. draig Ó Scanaill; Jeroen Hermanides; Donal J. Buggy

doi:10.1016/j.bja.2023.02.039

Current practice in the perioperative management of patients with diabetes mellitus: a narrative review

Kieran Crowley^*
, P. draig Ó Scanaill
, Jeroen Hermanides
, Donal J. Buggy

^*Corresponding author for this work

University College Dublin
Cleveland Clinic Foundation

Research output: Contribution to journal › Review article › Academic › peer-review

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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.

Original language	English
Pages (from-to)	242-252
Number of pages	11
Journal	British journal of anaesthesia
Volume	131
Issue number	2
Early online date	2023
DOIs	https://doi.org/10.1016/j.bja.2023.02.039
Publication status	Published - Aug 2023

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

SDG 3 Good Health and Well-being

Keywords

diabetes mellitus
insulin
oral hypoglycaemic agent
postoperative complications
surgery

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10.1016/j.bja.2023.02.039

Current-practice-in-the-perioperative-management-of-patients-with-diabetes-mellitus.pdfFinal published version, 648 KBLicence: CC BY

Cite this

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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.",

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AB - 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.

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KW - insulin

KW - oral hypoglycaemic agent

KW - postoperative complications

KW - surgery

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Current practice in the perioperative management of patients with diabetes mellitus: a narrative review

Abstract

UN SDGs

Keywords

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