Inpatient Glycemic Protocol for Patients with Diabetes Undergoing Bariatric Surgery.
BACKGROUND
Bariatric surgery is a recommended treatment for diabetes in severely obese patients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist.


OBJECTIVE
We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days.


METHODS
The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients.


RESULTS
Patients are offered post-discharge recommendations using the inpatient glycemic protocol.


CONCLUSIONS
We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.
Department of Medicine, Loyola University Health System, 2160 S. First Ave. Room 7611A, Maywood, IL, 60153, USA. kwmachnica@gmail.com.
Karolina
http://orcid.org/0000-0001-9982-4357
K
Machnica
Section of Endocrinology, Diabetes, and Metabolism, Department of Medicine, The University of Chicago, Chicago, IL, USA. spannain@medicine.bsd.uchicago.edu.
Silvana
S
Pannain
Division of Hospital Medicine, Loyola University Health System, Maywood, IL, USA. eschulwolf@lumc.edu.
Elizabeth
E
Schulwolf
Loyola Center for Metabolic Surgery & Bariatric Care, Loyola University Health System, Melrose Park, IL, USA. jbartfield@lumc.edu.
Jessica
J
Bartfield
Division of Endocrinology and Metabolism, Loyola University Health System, Maywood, IL, USA. memanue@lumc.edu.
Mary Ann
MA
Emanuele
D050110:Bariatric Surgery; D001786:Blood Glucose / Q000032:analysis*; D002985:Clinical Protocols; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000188:drug therapy* / Q000601:surgery; D006760:Hospitalization; D006801:Humans; D009767:Obesity, Morbid / Q000097:blood / Q000601:surgery*
D001786:Blood Glucose
Bariatric surgery; Diabetes mellitus; Glycemic control; Inpatient protocols