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Preoperative considerations for patients with diabetes
Julienne K Kirk1, Clifford F Gonzales2
1Department of Family and Community Medicine, Medical Center Boulevard, Atrium Health Wake Forest Baptist, Wake Forest University School of Medicine, Winston Salem, North Carolina, USA.
Expert Review of Endocrinology & Metabolism
|November 8, 2023
Summary
Preoperative glucose control is crucial for surgical patients with diabetes. Optimizing diabetes management before surgery improves outcomes and addresses challenges posed by complex medication regimens.
Area of Science:
- Anesthesiology
- Endocrinology
- Surgical Management
Background:
- Preoperative assessment is vital for surgical patients.
- Hyperglycemia negatively impacts surgical outcomes.
- Diabetes management poses unique preoperative challenges due to complex medication regimens.
Purpose of the Study:
- To review best practices for preoperative assessment in patients with diabetes.
- To focus on the management of diabetes medications in the preoperative setting.
Main Methods:
- A PubMed search was conducted for published data and reviews.
- The review focused on preoperative approaches to diabetes management.
Main Results:
- Consensus opinion guides most current recommendations for diabetic surgical patients.
- Preoperative glycemic control is essential for non-emergent procedures.
- Understanding the pathophysiology of glucose variability and surgical stress is key.
Conclusions:
- Standardizing preoperative evaluation and management approaches is needed.
- Multidisciplinary teams and pre-assessment clinics can improve patient care.
- Optimizing diabetes management preoperatively is critical for better surgical outcomes.
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