Type 2 & other diabetes

A retrospective sub‐study of perioperative glycaemia and insulin treatment for hospital inpatients at a quaternary centre from the specialist treatment of inpatients: Caring for diabetes in surgery trial ( STOIC ‐D Surgery)

Diabet MedPublished Secondary analysis of the STOIC-D Surgery randomised trial

Authors' conclusion

This study characterised perioperative glycaemia trends and suggests that clinicians identify patients who require intensification of insulin treatment in the perioperative period, which needs to be counterbalanced with the risk of hypoglycaemia.

Study context

Population
Surgical inpatients with pre-admission diabetes or inpatient hyperglycaemia who underwent at least one procedure during admission; quaternary centre
Participants
518 inpatients
Methodological detailsretrospective sub-study
  • Retrospective sub-study

Primary result

As reported in the abstract

day before, day of and day after surgery

Received insulin during the three perioperative days

295

57%

Insulin-receiving patients with a consistent increase in total daily insulin dose across the 3 days

130

44%

Further findings

Baseline HbA1c

Mean HbA1c
52 mmol/mol (6.9%)

Safety

Hypoglycaemia in all patients, for each perioperative day
3%
Higher in patients receiving perioperative insulin

Original publication

A retrospective sub‐study of perioperative glycaemia and insulin treatment for hospital inpatients at a quaternary centre from the specialist treatment of inpatients: Caring for diabetes in surgery trial ( STOIC ‐D Surgery). Diabet Med. Published 21 May 2026. doi:10.1111/dme.70370

Composed by AI from the published abstract and checked against it. How Briefs are made →

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