title: Perioperative glycemic management in insulin pump patients undergoing noncardiac surgery.
abstract: Increasingly more Americans are being diagnosed with diabetes mellitus, and the number of those using the continuous subcutaneous insulin infusion pump (CSII), commonly known as the insulin pump, is on the rise. Although evidence is lacking on how best to manage insulin pump patients perioperatively, several individual or institutional approaches have been developed. Here we propose a comprehensive algorithm for perioperative glycemic management in insulin pump patients undergoing noncardiac surgery. Where applicable, we discuss the rationale behind the algorithm.
authors: Preoperative Anesthesia Consultation and Evaluation Clinic, Departments of General Anesthesiology and Outcomes Research, Director, Center for Sedation, Anesthesiology Institute, OH, USA. abdelmb@ccf.org
authors: Basem
authors: B
authors: Abdelmalak
authors: Michael
authors: M
authors: Ibrahim
authors: Jean-Pierre
authors: JP
authors: Yared
authors: Mary Beth
authors: MB
authors: Modic
authors: Christian
authors: C
authors: Nasr
mesh_terms: D000465:Algorithms; D001786:Blood Glucose / Q000187:drug effects* / Q000378:metabolism; D003661:Decision Support Techniques; D003920:Diabetes Mellitus / Q000097:blood / Q000175:diagnosis / Q000188:drug therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage* / Q000009:adverse effects; D007328:Insulin / Q000008:administration & dosage* / Q000009:adverse effects; D007332:Insulin Infusion Systems; D019990:Perioperative Care / Q000009:adverse effects / Q000379:methods*; D011183:Postoperative Complications / Q000517:prevention & control; D018570:Risk Assessment; D012307:Risk Factors; D013514:Surgical Procedures, Operative / Q000009:adverse effects; D013997:Time Factors
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D007328:Insulin