The positive impact of a multidisciplinary preoperative diabetes clinic on improving glycaemic management in adults undergoing elective noncardiac surgery.

ABSTRACT:

Aims

To investigate the impact of a multidisciplinary preoperative diabetes clinic on glycaemic and clinical outcomes in adults undergoing elective noncardiac surgery.

Methods

Seventy-nine adults scheduled for elective noncardiac surgery with haemoglobin A1c (HbA_1c) levels ≥64 mmol/mol (8.0%) were prospectively recruited. Participants received regular preoperative consultations with a pharmacist, diabetes nurse and diabetologist. Changes in HbA_1c and serum fructosamine levels between baseline and the day of surgery were compared using a paired t-test and linear regression.

Results

Mean HbA_1c at baseline was 83 mmol/mol (9.7%). There was a significant reduction in HbA_1c levels measured on the day of surgery, with mean HbA

SUBMITTER: Yu A 

PROVIDER: S-EPMC12628723 | biostudies-literature | 2025 Dec

REPOSITORIES: biostudies-literature