title: Perioperative care of patients with diabetes.
abstract: Proper care of patients with diabetes during the perioperative period is crucial for preventing acute complications such as hyperglycemia, hypoglycemia, diabetic ketoacidosis, hyperosmolar hyperglycemic state, dehydration, and electrolyte imbalances. Many factors influence the optimal care plan, including the usual home diabetes regimen, the level of diabetes control before surgery, the surgery type, the duration of surgery, and the amount of time the patient will be fasting. An optimal plan of care is based on a thorough presurgical assessment and prescribing a regimen that will minimize acute complications. This article discusses recommendations for target blood glucose and diabetes medication adjustment during the perioperative period.
authors: Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, Houston, TX 77230-1402, USA. clevesqu@mdanderson.org
authors: Celia M
authors: CM
authors: Levesque
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology / Q000451:nursing* / Q000628:therapy*; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage; D049528:Insulin, Long-Acting / Q000008:administration & dosage; D019990:Perioperative Care; D013527:Perioperative Nursing; D011182:Postoperative Care; D013514:Surgical Procedures, Operative
chemical_list: D001786:Blood Glucose; D007004:Hypoglycemic Agents; D049528:Insulin, Long-Acting