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Ophthal Surg Las Im · May 2004
Perioperative treatment of patients with diabetes having eye surgery with local anesthesia in an ambulatory facility.
- Carol R Kollarits, Ronald M Kendrick, and Matthew Guess.
- The Eye Institute of Northwestern Ohio, 5555 Airport Highway, Toledo, OH 43615, USA.
- Ophthal Surg Las Im. 2004 May 1; 35 (3): 185-8.
Background And ObjectiveTo evaluate the incidence of hyperglycemia and hypoglycemia in diabetic patients on the morning of eye surgery scheduled under local anesthesia in an ambulatory surgery facility.Patients And MethodsA retrospective analysis of fasting blood glucose levels in 216 diabetic patients on 326 admissions.ResultsThe fasting blood glucose level was 80 mg/dL or lower in 10 patient admissions (3%). Hyperglycemia (fasting blood glucose level of greater than 300 mg/dL) was present on 8 admissions (2.4%).ConclusionsBlood glucose levels need to be monitored in diabetic patients undergoing even short surgical procedures. The dosage of long-acting insulins or oral hypoglycemics given the night prior to surgery may have to be reduced to prevent hypoglycemia on the morning of surgery.
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