title: Guidelines for Perioperative Management of the Diabetic Patient.
abstract: Management of glycemic levels in the perioperative setting is critical, especially in diabetic patients. The effects of surgical stress and anesthesia have unique effects on blood glucose levels, which should be taken into consideration to maintain optimum glycemic control. Each stage of surgery presents unique challenges in keeping glucose levels within target range. Additionally, there are special operative conditions that require distinctive glucose management protocols. Interestingly, the literature still does not report a consensus perioperative glucose management strategy for diabetic patients. We hope to outline the most important factors required in formulating a perioperative diabetic regimen, while still allowing for specific adjustments using prudent clinical judgment. Overall, through careful glycemic management in perioperative patients, we may reduce morbidity and mortality and improve surgical outcomes.
authors.affiliation: Texas A&M Health Science Center, 8447 State Highway 47, Bryan, TX 77807, USA.
authors.forename: Sivakumar
authors.identifier: 0000-0002-2029-4304
authors.initials: S
authors.lastname: Sudhakaran
authors.affiliation: Division of Pulmonary, Critical Care & Sleep Medicine, Texas A&M Health Science Center, Corpus Christi, 1177 West Wheeler Avenue, Suite 1, Aransas Pass, TX 78336, USA.
authors.forename: Salim R
authors.initials: SR
authors.lastname: Surani