Perioperative Glycemic Management in Insulin Pump Patients Undergoing Noncardiac Surgery

Author(s): Basem Abdelmalak, Michael Ibrahim, Jean-Pierre Yared, Mary Beth Modic, Christian Nasr.

Journal Name: Current Pharmaceutical Design

Volume 18 , Issue 38 , 2012

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Abstract:

Increasingly more Americans are being diagnosed with diabetes mellitus, and the number of those using the continuous subcutaneous insulin infusion pump (CSII), commonly known as the insulin pump, is on the rise. Although evidence is lacking on how best to manage insulin pump patients perioperatively, several individual or institutional approaches have been developed. Here we propose a comprehensive algorithm for perioperative glycemic management in insulin pump patients undergoing noncardiac surgery. Where applicable, we discuss the rationale behind the algorithm.

Keywords: Perioperative, glucose control, insulin pumps, diabetes, anesthesia

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Article Details

VOLUME: 18
ISSUE: 38
Year: 2012
Page: [6204 - 6214]
Pages: 11
DOI: 10.2174/138161212803832371
Price: $58

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