Type 2 & other diabetes

Perioperative Insulin Regimens in Patients With Insulin-Treated Type 2 Diabetes Mellitus Hospitalized for a Short Time for Minor Eye Surgery

J Diabetes Sci TechnolPublished Proof-of-concept study

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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