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 language | English (US) |
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Pages (from-to) | 337-354 |
Number of pages | 18 |
Journal | Surgical Clinics of North America |
Volume | 95 |
Issue number | 2 |
DOIs | |
State | Published - Apr 1 2015 |
Keywords
- Blood glucose
- Glucose management
- Glycemic control
- Hyperglycemia
- Hypoglycemia
- Perioperative
- Surgical
- Tight glycemic control
ASJC Scopus subject areas
- Surgery