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Clin Colon Rectal Surg 2023; 36(03): 198-200
DOI: 10.1055/s-0043-1761153
Review Article

Hyperglycemia in the Perioperative Period

Rebecca Shuford
1   Department of Surgery, Atrium Health Wake Forest Baptist, Winston-Salem, North Carolina
,
Jennifer L. Miller-Ocuin
2   Division of Colorectal Surgery, Department of Surgery, University Hospitals Cleveland Medical Center, Cleveland, Ohio
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Abstract

Perioperative hyperglycemia is a risk factor in surgical patients. Complications, including infection and mortality, are associated with hyperglycemia in both diabetic and nondiabetic patients. Stress hyperglycemia results in a state of insulin resistance. Insulin administration has been shown to reduce the complications associated with hyperglycemia. Glycemic targets provide goals for individualized treatment of hyperglycemia in surgical patients in the preoperative, intraoperative, and postoperative periods.

Keywords

hyperglycemia - diabetes - insulin


Publication History

Article published online:
25 January 2023

© 2023. Thieme. All rights reserved.

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