scholarly journals Reduction of Surgical Mortality and Morbidity in Diabetic Patients Undergoing Cardiac Surgery With a Combined Intravenous and Subcutaneous Insulin Glucose Management Strategy

Diabetes Care ◽  
2007 ◽  
Vol 30 (4) ◽  
pp. 823-828 ◽  
Author(s):  
L. R. Schmeltz ◽  
A. J. DeSantis ◽  
V. Thiyagarajan ◽  
K. Schmidt ◽  
E. O'Shea-Mahler ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Management Strategy ◽  
Diabetic Patients ◽  
Subcutaneous Insulin ◽  
Surgical Mortality ◽  
Mortality And Morbidity ◽  
Glucose Management

scholarly journals Guidelines for Perioperative Management of the Diabetic Patient

2015 ◽  
Vol 2015 ◽  
pp. 1-8 ◽  
Author(s):  
Sivakumar Sudhakaran ◽  
Salim R. Surani
Keyword(s):  
Clinical Judgment ◽  
Management Strategy ◽  
Perioperative Management ◽  
Surgical Stress ◽  
Target Range ◽  
Diabetic Patients ◽  
Glucose Levels ◽  
Blood Glucose Levels ◽  
Glucose Management ◽  
Glycemic Management

Management of glycemic levels in the perioperative setting is critical, especially in diabetic patients. The effects of surgical stress and anesthesia have unique effects on blood glucose levels, which should be taken into consideration to maintain optimum glycemic control. Each stage of surgery presents unique challenges in keeping glucose levels within target range. Additionally, there are special operative conditions that require distinctive glucose management protocols. Interestingly, the literature still does not report a consensus perioperative glucose management strategy for diabetic patients. We hope to outline the most important factors required in formulating a perioperative diabetic regimen, while still allowing for specific adjustments using prudent clinical judgment. Overall, through careful glycemic management in perioperative patients, we may reduce morbidity and mortality and improve surgical outcomes.

Simplified Transition Algorithm from Intravenous to Subcutaneous Insulin in Nondiabetic Cardiac Surgery Patients with Stress Hyperglycemia

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 1237-P ◽  
Author(s):  
SAUMETH CARDONA ◽  
RODOLFO J. GALINDO ◽  
KATERINA G. TSEGKA ◽  
MARIA A. URRUTIA ◽  
PRIYATHAMA VELLANKI ◽  
...  
Keyword(s):  
Cardiac Surgery ◽  
Subcutaneous Insulin ◽  
Stress Hyperglycemia

Preferable Conversion Rate from Intravenous to Subcutaneous Insulin in Hyperglycemic Emergencies in Diabetic Patients

Diabetes ◽  
2018 ◽  
Vol 67 (Supplement 1) ◽  
pp. 2286-PUB
Author(s):  
HIKARU TAKAMINE ◽  
YULIA NAMIKI ◽  
HIROKO HIIRAGI ◽  
TAKU YAMADA ◽  
YUYA TAKANO ◽  
...  
Keyword(s):  
Conversion Rate ◽  
Diabetic Patients ◽  
Subcutaneous Insulin

scholarly journals Current Pharmacological Intervention and Medical Management for Diabetic Kidney Transplant Recipients

Pharmaceutics ◽  
2021 ◽  
Vol 13 (3) ◽  
pp. 413
Author(s):  
Theerawut Klangjareonchai ◽  
Natsuki Eguchi ◽  
Ekamol Tantisattamo ◽  
Antoney J. Ferrey ◽  
Uttam Reddy ◽  
...  
Keyword(s):  
Diabetes Mellitus ◽  
Kidney Transplantation ◽  
Kidney Transplant ◽  
Pharmacological Intervention ◽  
Diabetic Patients ◽  
Transplant Recipients ◽  
Kidney Transplant Recipients ◽  
Kidney Allograft ◽  
Post Transplant ◽  
Glucose Management

Hyperglycemia after kidney transplantation is common in both diabetic and non-diabetic patients. Both pretransplant and post-transplant diabetes mellitus are associated with increased kidney allograft failure and mortality. Glucose management may be challenging for kidney transplant recipients. The pathophysiology and pattern of hyperglycemia in patients following kidney transplantation is different from those with type 2 diabetes mellitus. In patients with pre-existing and post-transplant diabetes mellitus, there is limited data on the management of hyperglycemia after kidney transplantation. The following article discusses the nomenclature and diagnosis of pre- and post-transplant diabetes mellitus, the impact of transplant-related hyperglycemia on patient and kidney allograft outcomes, risk factors and potential pathogenic mechanisms of hyperglycemia after kidney transplantation, glucose management before and after transplantation, and modalities for prevention of post-transplant diabetes mellitus.

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