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Perioperative Management of Diabetes Mellitus: Novel Approaches

  • Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu, Section Editors)
  • Published:
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Abstract

Purpose of Review

Several studies have demonstrated the benefits of glycemic control in the perioperative period and there is ongoing interest in development of systematic approaches to achieving glycemic control. This review discusses currently available data and proposes a new approach to the management of hyperglycemia in the perioperative period.

Recent Findings

In a recent study, we demonstrated that early preoperative identification of patients with poorly controlled diabetes and proactive treatment through various phases of surgery improves glycemic control, lowers the risk of surgical complications, and decreases the length of hospital stay.

Summary

Implementation of a perioperative diabetes program that systematically identifies and treats patients with poor glycemic control early in the preoperative period is feasible and improves clinical care of patients undergoing elective surgery.

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Authors and Affiliations

  1. Division of Endocrinology, Diabetes and Hypertension, Brigham and Women’s Hospital, Harvard Medical School, 221 Longwood Avenue, Suite 381, Boston, MA, 02115, USA

    Nadine E. Palermo

  2. Comprehensive Diabetes Center, Miller School of Medicine, University of Miami, 5555 Ponce de Leon Blvd, Coral Gables, FL, 33145, USA

    Rajesh Garg

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Correspondence to Rajesh Garg.

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This article is part of the Topical Collection on Health Care Delivery Systems and Implementation in Diabetes

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Palermo, N.E., Garg, R. Perioperative Management of Diabetes Mellitus: Novel Approaches. Curr Diab Rep 19, 14 (2019). https://doi.org/10.1007/s11892-019-1132-7

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