title: Perioperative management of diabetes mellitus.
abstract: Diabetes mellitus (DM) is a common disease with serious microvascular and macrovascular complications. Individuals with DM have a higher rate of surgical procedures. A number of recent studies have demonstrated that poor perioperative glucose control is associated with adverse postoperative outcomes. There is growing evidence that interventions aimed at improving glycemic control in the perioperative period can improve short- and long-term outcomes in subjects with DM undergoing surgery. A variety of treatment options are now available for the management of DM. With judicious use of these regimens it should be possible to maintain good glycemic control in the perioperative period. A collaborative approach involving the surgical team, nursing professionals, primary care physicians, and specialists should be capable of successfully implementing effective regimens in the perioperative period.
authors.affiliation: Division of Endocrinology and Metabolism, University of Louisville, Ky., USA.
authors.forename: Prakash L
authors.initials: PL
authors.lastname: Mokshagundam
mesh_terms: D000553:Ambulatory Care / Q000379:methods; D001786:Blood Glucose / Q000378:metabolism; D002985:Clinical Protocols; D003299:Cooperative Behavior; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000378:metabolism / Q000628:therapy; D019317:Evidence-Based Medicine; D006801:Humans; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007400:Interprofessional Relations; D010347:Patient Care Planning; D010348:Patient Care Team / Q000458:organization & administration; D019990:Perioperative Care / Q000379:methods* / Q000451:nursing; D016896:Treatment Outcome
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin