Optimal Glucose Management in the Perioperative Period

Charity H Evans, Jane Lee, Melissa K. Ruhlman

Research output: Contribution to journalReview article

17 Citations (Scopus)

Abstract

Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients.

Original languageEnglish (US)
Pages (from-to)337-354
Number of pages18
JournalSurgical Clinics of North America
Volume95
Issue number2
DOIs
StatePublished - Apr 1 2015

Fingerprint

Perioperative Period
Hyperglycemia
Glucose
Morbidity
Parenteral Nutrition
Enteral Nutrition
Insulin Resistance
Blood Glucose
Hormones
Insulin
Survival
Mortality
Liver

Keywords

  • Blood glucose
  • Glucose management
  • Glycemic control
  • Hyperglycemia
  • Hypoglycemia
  • Perioperative
  • Surgical
  • Tight glycemic control

ASJC Scopus subject areas

  • Surgery

Cite this

Optimal Glucose Management in the Perioperative Period. / Evans, Charity H; Lee, Jane; Ruhlman, Melissa K.

In: Surgical Clinics of North America, Vol. 95, No. 2, 01.04.2015, p. 337-354.

Research output: Contribution to journalReview article

Evans, Charity H ; Lee, Jane ; Ruhlman, Melissa K. / Optimal Glucose Management in the Perioperative Period. In: Surgical Clinics of North America. 2015 ; Vol. 95, No. 2. pp. 337-354.
@article{552c84e902bb497a8f23a09849ea0e82,
title = "Optimal Glucose Management in the Perioperative Period",
abstract = "Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients.",
keywords = "Blood glucose, Glucose management, Glycemic control, Hyperglycemia, Hypoglycemia, Perioperative, Surgical, Tight glycemic control",
author = "Evans, {Charity H} and Jane Lee and Ruhlman, {Melissa K.}",
year = "2015",
month = "4",
day = "1",
doi = "10.1016/j.suc.2014.11.003",
language = "English (US)",
volume = "95",
pages = "337--354",
journal = "Surgical Clinics of North America",
issn = "0039-6109",
publisher = "W.B. Saunders Ltd",
number = "2",

}

TY - JOUR

T1 - Optimal Glucose Management in the Perioperative Period

AU - Evans, Charity H

AU - Lee, Jane

AU - Ruhlman, Melissa K.

PY - 2015/4/1

Y1 - 2015/4/1

N2 - Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients.

AB - Hyperglycemia is a common finding in surgical patients during the perioperative period. Factors contributing to poor glycemic control include counterregulatory hormones, hepatic insulin resistance, decreased insulin-stimulated glucose uptake, use of dextrose-containing intravenous fluids, and enteral and parenteral nutrition. Hyperglycemia in the perioperative period is associated with increased morbidity, decreased survival, and increased resource utilization. Optimal glucose management in the perioperative period contributes to reduced morbidity and mortality. To readily identify hyperglycemia, blood glucose monitoring should be instituted for all hospitalized patients.

KW - Blood glucose

KW - Glucose management

KW - Glycemic control

KW - Hyperglycemia

KW - Hypoglycemia

KW - Perioperative

KW - Surgical

KW - Tight glycemic control

UR - http://www.scopus.com/inward/record.url?scp=84925444989&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=84925444989&partnerID=8YFLogxK

U2 - 10.1016/j.suc.2014.11.003

DO - 10.1016/j.suc.2014.11.003

M3 - Review article

C2 - 25814110

AN - SCOPUS:84925444989

VL - 95

SP - 337

EP - 354

JO - Surgical Clinics of North America

JF - Surgical Clinics of North America

SN - 0039-6109

IS - 2

ER -