Intraoperative and Postoperative Glycemic Management in Patients with Diabetes.

Koh,  Gwanpyo

doi:2011.12.3.150

J Korean Diabetes > Volume 12(3); 2011 > Article

Focused Issue

The Journal of Korean Diabetes 2011;12(3):150-153.
DOI: https://doi.org/10.4093/kcd.2011.12.3.150 Published online September 1, 2011.

당뇨병환자의 수술 중 및 수술 후 혈당조절

고관표

Intraoperative and Postoperative Glycemic Management in Patients with Diabetes.

Gwanpyo Koh

Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea. okdom@jejunu.ac.kr

Abstract

Unlike minor operations, major surgeries require strict glycemic control using intravenous insulin infusion in patients with diabetes. The postoperative transition to subcutaneous insulin, if needed, can begin several hours before discontinuing intravenous insulin, by reinitiation of basal insulin re-initiation. Basal-bolus insulin regimens are safer and more effective in hospitalized patients than supplemental-scale regular insulin.

Key Words: Intraoperative care, Postoperative care, Hyperglycemia, Diabetes mellitus