Home » 3) Endocrine Disorders » Perioperative Management of Patients with Diabetes

Perioperative Management of Patients with Diabetes

Guiding Question:
Is diabetes managed in the same way perioperatively as it would be in a medical hospitalized patient? ICU patient?

 

Diabetes is a common disorder that will be encountered in the surgical patient. These patients are at increased risk of perioperative complications including elevated cardiac risk and risk of infection and poor wound healing. Diabetic medications can be difficult to manage due to often rapidly changing insulin requirements and altered nutritional intake.

 

Learning Objectives:

  • Properly dose diabetic medications to avoid hypo- and hyperglycemia in patients with type 1 and type 2 diabetes. (R1, R2, R3)

 

Review cases 1 – 4  for this section of the module.

 

Learning Resources:
Readings:

  1. UpToDate Chapter: Perioperative Management of Blood Glucose in Adults with Diabetes Mellitus

Videos: (total viewing time 21:21)

  1. Preoperative Evaluation of Patients with Diabetes (5:12)
  2. Perioperative Diabetes Management: Patients on Oral Agents (7:54)
  3. Perioperative Diabetes Management: Patients on Insulin (8:15)

Annotated PowerPoint Slides: (Note: To download the slides click “Save” at the top of the presentation. After downloading, click on “View” tab and view as “Notes Page”)

  1. Preoperative Evaluation of Patients with Diabetes (5 slides)
  2. Glycemia Management in Diabetic Patients Taking Oral Agents or Noninsulin Injectables (8 slides)
  3. Glycemia Management in Diabetic Patients Taking Insulin (10 slides)

 

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