Preoperative Evaluation of Patients with Diabetes Mellitus

Joshua D Miller; Deborah C Richman

doi:10.1016/j.anclin.2015.10.008

Preoperative Evaluation of Patients with Diabetes Mellitus

Anesthesiol Clin. 2016 Mar;34(1):155-69. doi: 10.1016/j.anclin.2015.10.008.

Authors

Joshua D Miller¹, Deborah C Richman²

Affiliations

¹ Department of Medicine, Stony Brook Medicine, Stony Brook, NY 11794-8154, USA. Electronic address: Joshua.Miller@stonybrookmedicine.edu.
² Department of Anesthesiology, Stony Brook Medicine, Stony Brook, NY 11794-8480, USA.

PMID: 26927745
DOI: 10.1016/j.anclin.2015.10.008

Abstract

There are more than 29 million people in the United States with diabetes; it is estimated that by 2050, one in 3 individuals will have the disease. At least 50% of patients with diabetes are expected to undergo surgery in their lifetime. Complications from uncontrolled diabetes can impact multiple organ systems and affect perioperative risk. In this review, the authors discuss principles in diabetes management that will assist the perioperative clinician in caring for patients with diabetes.

Keywords: Diabetes; Glycemic control; Hemoglobin A1c; Hyperglycemia; Insulin pump; Preoperative evaluation.

Publication types

Review

MeSH terms

Diabetes Complications / diagnosis
Diabetes Complications / physiopathology
Diabetes Mellitus / drug therapy*
Diabetes Mellitus / physiopathology
Humans
Preoperative Period
Risk Assessment