• Curr Opin Anaesthesiol · Dec 2024

    Review

    Caring for patients with diabetes in the outpatient surgical setting: current recommendations and controversies.

    • Elizabeth W Duggan and Guillermo E Umpierrez.
    • Department of Anesthesiology and Perioperative Care, Heersink School of Medicine, University of Alabama at Birmingham, Birmingham, Alabama.
    • Curr Opin Anaesthesiol. 2024 Dec 1; 37 (6): 651660651-660.

    Purpose Of ReviewPerioperative outpatient (ambulatory) care of the adult patient with diabetes requires unique considerations that vary from the inpatient setting. This review highlights specific pre, intra, and postoperative care steps for patients with diabetes undergoing ambulatory surgery, summarizing recent clinical trials, expert reviews, and emerging evidence.Recent FindingsThere is a paucity of evidence examining optimal diabetes management in the outpatient setting. Currently, there are limited studies regarding preoperative management of oral hypoglycemic agents, home insulin, and carbohydrate-containing beverages.SummaryFuture research needs to specifically examine chronic blood glucose control, day of surgery targets, effective home medication management and the risk of perioperative hyperglycemia in ambulatory surgery. Education, protocols and resources to support the care of perioperative patients in the outpatient setting will aid providers on the day of surgery and provide optimal diabetes care leading up to surgery.Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.

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