title: Hypoglycaemia in anesthesiology practice: Diagnostic, preventive, and management strategies.
abstract: Diabetes mellitus has emerged as one of the fastest growing non communicable diseases worldwide. Management of diabetic patients during surgical and critically illness is of paramount challenge to anesthesiologist and intensivist. Among its major acute complications, hypoglycemia has been given lesser attention as compared to other major acute complications; diabetic ketoacidosis and hyperosmolar non ketotic coma. However, newer studies and literary evidence have established the serious concerns of morbidity and mortality, both long- and short-term, related to hypoglycemia. basis. Invariably, diabetic patients are encountered in our daily routine practice of anesthesia. During fasting status as well as the perioperative period, it is hypoglycemia that is of high concern to anesthesiologist. Management has to be based on clinical, pharmacological, social, and psychological basis, so as to completely prevent the complications arising from an acute episode of hypoglycemia. This review aims to highlight various aspects of hypoglycemia and its management both from endocrine and anesthesia perspective.
authors.affiliation: Department of Endocrinology, Bharti Hospital and BRIDE, Karnal, Haryana, India.
authors.forename: Sanjay
authors.initials: S
authors.lastname: Kalra
authors.affiliation: Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India.
authors.forename: Sukhminder Jit Singh
authors.initials: SJ
authors.lastname: Bajwa
authors.affiliation: Department of Endocrinology, Excel Center (Unit of Excel Care Hospitals), Guwahati, Assam, India.
authors.forename: Manash
authors.initials: M
authors.lastname: Baruah
authors.affiliation: Commonwealth Health - Regional Hospital of Scranton Clinical, Assistant Professor of Medicine, The Commonwealth Medical College, Scranton, PA 18510, USA.
authors.forename: Vishal
authors.initials: V
authors.lastname: Sehgal
keywords: Diabetes mellitus; hyperglycemia; hypoglycemia; insulin; insulin analogues