title: Perioperative treatment of patients with diabetes having eye surgery with local anesthesia in an ambulatory facility.
abstract: OBJECTIVE
  To evaluate the incidence of hyperglycemia and hypoglycemia in diabetic patients on the morning of eye surgery scheduled under local anesthesia in an ambulatory surgery facility.
  
  
  METHODS
  A retrospective analysis of fasting blood glucose levels in 216 diabetic patients on 326 admissions.
  
  
  RESULTS
  The fasting blood glucose level was 80 mg/dL or lower in 10 patient admissions (3%). Hyperglycemia (fasting blood glucose level of greater than 300 mg/dL) was present on 8 admissions (2.4%).
  
  
  CONCLUSIONS
  Blood glucose levels need to be monitored in diabetic patients undergoing even short surgical procedures. The dosage of long-acting insulins or oral hypoglycemics given the night prior to surgery may have to be reduced to prevent hypoglycemia on the morning of surgery.
authors.affiliation: The Eye Institute of Northwestern Ohio, 5555 Airport Highway, Toledo, OH 43615, USA.
authors.forename: Carol R
authors.initials: CR
authors.lastname: Kollarits
authors.forename: Ronald M
authors.initials: RM
authors.lastname: Kendrick
authors.forename: Matthew
authors.initials: M
authors.lastname: Guess
mesh_terms: D000368:Aged; D000554:Ambulatory Care Facilities; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D001786:Blood Glucose / Q000032:analysis; D003131:Combined Modality Therapy; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy*; D004035:Diet Therapy; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D007003:Hypoglycemia / Q000175:diagnosis / Q000188:drug therapy* / Q000209:etiology; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D015994:Incidence; D007328:Insulin / Q000627:therapeutic use; D008297:Male; D013508:Ophthalmologic Surgical Procedures; D019990:Perioperative Care; D012189:Retrospective Studies
chemical_list: D000779:Anesthetics, Local; D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin