Related Experiment Video
Updated: Apr 4, 2026

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Inpatient Glycemic Protocol for Patients with Diabetes Undergoing Bariatric Surgery
Karolina Machnica1, Silvana Pannain2, Elizabeth Schulwolf3
1Department of Medicine, Loyola University Health System, 2160 S. First Ave. Room 7611A, Maywood, IL, 60153, USA. kwmachnica@gmail.com.
Background:
Bariatric surgery is a recommended treatment for diabetes in severely obese patients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist.
Objective:
We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days.
Methods:
The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients.
Results:
Patients are offered post-discharge recommendations using the inpatient glycemic protocol.
Conclusion:
We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.
Related Concept Videos
Insulin: Dosing Regimen and Adverse Effects
The basal dose constitutes about 40%-50% of the total daily dose, with the rest as premeal insulin. The mealtime insulin dose should mirror...
Hypoglycemia and Glucagon
Diabetes Mellitus: Type 2 and Gestational
Diabetes: Management and Pharmacotherapy
Insulin remains the cornerstone of treatment for most patients with type 1 and many...
Oral Hypoglycemic Agents: α-Glucosidase Inhibitors
Acarbose and miglitol are...
Oral Hypoglycemic Agents: Glinides

