Perioperative Insulin Regimens in Patients With Insulin-Treated Type 2 Diabetes Mellitus Hospitalized for a Short Time for Minor Eye Surgery
Authors' conclusion
In this study, we observed that a standardized perioperative insulin regimen efficiently lowered postoperative BG levels. Providing a custom breakfast and a full insulin dose resulted in lower postoperative BG levels. These approaches were not associated with an increase in hypoglycemic events. Physicians and nursing staff gave positive feedback to the structured and well-defined approaches.
Study context
- Population
- Patients with insulin-treated T2D hospitalized for a short time for minor eye surgery12 to 15 per group
- Comparison
- Standardized insulin and meal regimens (A, B) vs routine care (C) on the day of surgery
- Outcome
- Management of diabetes in terms of BG levels
- Follow-up
- Perioperative period (pre- and immediately postoperatively, before meals and at bedtime)
Main finding
As reported in the abstract
Average BG levels · perioperative period
- Both standardized regimens (A, B) resulted in better average blood glucose (BG) levels in the perioperative period vs routine care, especially in the morning after surgery
Original publication
Perioperative Insulin Regimens in Patients With Insulin-Treated Type 2 Diabetes Mellitus Hospitalized for a Short Time for Minor Eye Surgery. J Diabetes Sci Technol. Published 16 April 2023. doi:10. 1177/ 19322968231168904
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