• J Perioper Pract · Nov 2010

    Management of patients with diabetes mellitus referred for elective surgery from primary care: the challenge of the 18 weeks pathway.

    • Jakub Kaczynski, Julie May, Iwona Pogoda, and Gordon Caldwell.
    • Morriston Hospital, Swansea.
    • J Perioper Pract. 2010 Nov 1; 20 (11): 411-3.

    AbstractA retrospective audit of diabetes glycaemic control optimisation in one primary care practice prior to elective surgery was undertaken. Collected data included: demographics, glycosylated haemoglobin A1c (HbA1c) records, evidence of diabetes related glycaemic control optimisation. Of the 82 patients in this study only 46 had an HbA1c measured pre-operatively and only 8 had a review with the practice nurse to optimise glycaemic control. Actions arising from quality improvement programmes are needed to optimise glycaemic control in diabetic patients undergoing elective surgery.

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