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Pfleger, S; Meçani, R; Semlitsch, B; Krall, A; Sendlhofer, G; Mader, JK; Wedrich, A.
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. 2023; 17(3):679-682 Doi: 10.1177/19322968231168904 [OPEN ACCESS]
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Führende Autor*innen der Med Uni Graz
Mader Julia
Mecani Renald
Co-Autor*innen der Med Uni Graz
Krall Anja
Semlitsch Barbara
Sendlhofer Gerald
Wedrich Andreas
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Abstract:
BACKGROUND: Elective surgery in patients with insulin-treated type 2 diabetes mellitus (T2D) and the admission period in the hospital, comprise a distinctive and challenging situation for physicians, nurses, as well as for the patients themselves. There is a lack of widely accepted evidence-based and standardized approach of care in regard to perioperative management of patients with insulin-treated T2D. METHODS: The main purpose of this proof-of-concept study was to investigate whether a standardized insulin and meal regimen on the day of surgery leads to a better management of diabetes in terms of blood glucose (BG) levels. Two different insulin and meal regimens-group A with half of insulin dose given with a standardized postoperative meal and group B with a custom preoperative breakfast and full insulin dose-were compared with Group C with routine care (no meal and no insulin injection on the day of surgery). Each group consisted of 12 to 15 patients. BG measurements were performed pre- and immediately postoperatively, before meals and at bedtime. RESULTS: Both standardized and well-defined insulin and meal regimens resulted in better average BG levels in the perioperative period, especially in the morning after the surgery. CONCLUSIONS: 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.
Find related publications in this database (using NLM MeSH Indexing)
Humans - administration & dosage
Blood Glucose - administration & dosage
Diabetes Mellitus, Type 2 - administration & dosage
Hypoglycemic Agents - administration & dosage
Insulin - administration & dosage
Ophthalmologic Surgical Procedures - administration & dosage
Perioperative Care - administration & dosage

Find related publications in this database (Keywords)
insulin-treated type 2 diabetes
minor surgery
perioperative
hypoglycemia
hyperglycemia
insulin regimen
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