Preoperative Insulin Intensification to Improve Day of Surgery Blood Glucose Control.

ABSTRACT:

Background

Guidelines offer varying recommendations for preoperative long-acting basal insulin dosing, despite mounting evidence of the advantages of maintaining perioperative glucose levels between 80 and 180 mg/dL.

Observations

We iteratively adjusted health care practitioner (HCP) instructions to intensify insulin dosing on the evening before surgery for 195 consecutive patients with diabetes mellitus treated with long-acting basal insulin with an evening dosage. Baseline data was collected in phase 1. In phase 2, the preoperative insulin dose on the evening before surgery was increased for patients with hemoglobin A_1c (HbA_1c) > 8%; in phase 3, it was increased for patients with HbA_1c ≤ 8% while sustaining the phase 2 change. Increased pre

SUBMITTER: Khalighi M 

PROVIDER: S-EPMC10010495 | biostudies-literature | 2022 Nov

REPOSITORIES: biostudies-literature