title: Society for Ambulatory Anesthesia consensus statement on perioperative blood glucose management in diabetic patients undergoing ambulatory surgery.
abstract: Optimal evidence-based perioperative blood glucose control in patients undergoing ambulatory surgical procedures remains controversial. Therefore, the Society for Ambulatory Anesthesia has developed a consensus statement on perioperative glycemic management in patients undergoing ambulatory surgery. A systematic review of the literature was conducted according the protocol recommended by the Cochrane Collaboration. The consensus panel used the Grading of Recommendations, Assessment, Development, and Evaluation (GRADE) system for providing suggestions. It was revealed that there is insufficient evidence to provide strong recommendations for the posed clinical questions. In the absence of high-quality evidence, recommendations were based on general principles of blood glucose control in diabetics, drug pharmacology, and data from inpatient surgical population, as well as clinical experience and judgment. In addition, areas of further research were also identified.
authors.affiliation: University of Texas Southwestern Medical Center, 5323 Harry Hines Blvd., Dallas, TX 75390-9068, USA. girish.joshi@utsouthwestern.edu
authors.forename: Girish P
authors.initials: GP
authors.lastname: Joshi
authors.forename: Frances
authors.initials: F
authors.lastname: Chung
authors.forename: Mary Ann
authors.initials: MA
authors.lastname: Vann
authors.forename: Shireen
authors.initials: S
authors.lastname: Ahmad
authors.forename: Tong J
authors.initials: TJ
authors.lastname: Gan
authors.forename: Daniel T
authors.initials: DT
authors.lastname: Goulson
authors.forename: Douglas G
authors.initials: DG
authors.lastname: Merrill
authors.forename: Rebecca
authors.initials: R
authors.lastname: Twersky
mesh_terms: D000556:Ambulatory Surgical Procedures; D001786:Blood Glucose / Q000187:drug effects* / Q000378:metabolism; D003920:Diabetes Mellitus / Q000097:blood / Q000188:drug therapy*; D019317:Evidence-Based Medicine; D006801:Humans; D007003:Hypoglycemia / Q000097:blood / Q000139:chemically induced / Q000517:prevention & control; D007004:Hypoglycemic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D016343:Monitoring, Intraoperative; D019990:Perioperative Care; D018570:Risk Assessment; D012307:Risk Factors; D012955:Societies, Medical
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents