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Updated: Oct 30, 2025

Improving IV Insulin Administration in a Community Hospital
Published on: June 11, 2012
Suggested Canadian Standards for Perioperative/Periprocedure Glycemic Management in Patients With Type 1 and Type 2
Ilana Halperin1, Janine Malcolm2, Sarah Moore3
1Division of Endocrinology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada.
Objectives:
The goal of this quality initiative was to develop consensus standards for glycemic management of patients with diabetes who undergo surgical procedures in Canada.
Methods:
A modified Delphi method was used to gather broad stakeholder input and arrive at a consensus for perioperative/periprocedure diabetes management.
Results:
Glycemic management standards were developed for the following categories: Organization of Care; Preoperative Assessment; Immediate Preoperative and Intraoperative; Postanesthesia Care Unit or Recovery Room; Postoperative Period; and Transition to Outpatient Care.
Conclusions:
It is anticipated these standards will serve as a basis to develop clinical tools to support the recommendations.
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