Optimal Glucose Management in the Perioperative Period

Charity H. Evans, Jane Lee, Melissa K. Ruhlman

Research output: Contribution to journalReview articlepeer-review

21 Scopus citations

Abstract

Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients.

Original languageEnglish (US)
Pages (from-to)337-354
Number of pages18
JournalSurgical Clinics of North America
Volume95
Issue number2
DOIs
StatePublished - Apr 1 2015

Keywords

  • Blood glucose
  • Glucose management
  • Glycemic control
  • Hyperglycemia
  • Hypoglycemia
  • Perioperative
  • Surgical
  • Tight glycemic control

ASJC Scopus subject areas

  • Surgery

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