Perioperative treatment of patients with diabetes having eye surgery with local anesthesia in an ambulatory facility.
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.
Kollarits
Carol R
CR
The Eye Institute of Northwestern Ohio, 5555 Airport Highway, Toledo, OH 43615, USA.
Kendrick
Ronald M
RM
Guess
Matthew
M
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
D000779:Anesthetics, Local; D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin