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Updated: May 20, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Perioperative glycemic management in insulin pump patients undergoing noncardiac surgery
Basem Abdelmalak1, Michael Ibrahim, Jean-Pierre Yared
1Preoperative Anesthesia Consultation and Evaluation Clinic, Departments of General Anesthesiology and Outcomes Research, Director, Center for Sedation, Anesthesiology Institute, OH, USA. abdelmb@ccf.org
Abstract:
Increasingly more Americans are being diagnosed with diabetes mellitus, and the number of those using the continuous subcutaneous insulin infusion pump (CSII), commonly known as the insulin pump, is on the rise. Although evidence is lacking on how best to manage insulin pump patients perioperatively, several individual or institutional approaches have been developed. Here we propose a comprehensive algorithm for perioperative glycemic management in insulin pump patients undergoing noncardiac surgery. Where applicable, we discuss the rationale behind the algorithm.
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