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Updated: Jun 24, 2026
12:08
Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
[Diabetes mellitus - perioperative management]
P Rittler1, U C Broedl, W Hartl
1Chirurgische Klinik und Poliklinik, Campus Klinikum Grosshadern, LMU-München, Marchioninistrasse 15, 81377 München, Deutschland. peter.rittler@med.uni-muenchen.de
Summary
Diabetes affects 12-25% of hospitalized adults, increasing perioperative risks. Optimal perioperative glycemic control, aiming for normoglycemia (80-145 mg/dL) while avoiding hypoglycemia, is crucial for patient safety.
Area of Science:
- Internal Medicine
- Endocrinology
- Anesthesiology
Context:
- Diabetes mellitus prevalence in hospitalized adults is 12-25% and increasing.
- Diabetes complications (nephropathy, neuropathy, atherosclerosis) elevate perioperative risks.
- Perioperative glycemic control is complex due to treatment changes and surgical stress hyperglycemia.
Purpose:
- To highlight the importance of identifying diabetes comorbidities preoperatively.
- To discuss challenges in perioperative glycemic management for surgical patients.
- To present evidence-based glycemic targets for perioperative care.
Summary:
- Poor glucose control and diabetes complications are linked to increased perioperative morbidity and mortality.
- Specific glycemic goals for general surgical units are derived from epidemiologic and physiologic data.
- Approximation of normoglycemia (plasma glucose 80-145 mg/dL) is recommended, avoiding hypoglycemia.
Impact:
- Emphasizes the need for preoperative assessment of diabetes in surgical patients.
- Informs clinical practice regarding perioperative glucose management strategies.
- Aims to reduce perioperative renal and cardiovascular complications in diabetic patients.
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