Perioperative Management Considerations of Omfs Patients with Diabetes.

ABSTRACT

Perioperative hyperglycemia is common and associated with increased rates of surgical wound infections, length of hospital stay, morbidity, and mortality. Improved perioperative glycemic control has the potential to improve patient outcome. Surgery and anesthesia induce a stress response with hormonal cascades that influences glucose control. In patients with diabetes and prediabetes, a focused history is necessary to create a plan that optimizes glycemic control in the perioperative setting. The goal of perioperative glycemic control is to keep glucose levels as normal as possible, while avoiding complications associated with hypoglycemia. Metabolic consequences of surgery and preoperative considerations of an inpatient with diabetes are discussed in this paper.