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Current Diabetes Reviews

Editor-in-Chief

ISSN (Print): 1573-3998
ISSN (Online): 1875-6417

Insulin Therapy in Cardiac Surgery

Author(s): Ashvini Menon and A. M. Ranasinghe

Volume 10, Issue 4, 2014

Page: [251 - 257] Pages: 7

DOI: 10.2174/1573399810666140918120228

Price: $65

Abstract

Aside from its actions on glycaemic control, insulin has been demonstrated to have a wide range of effects on the cardiovascular system. During the peri-operative period, the stress response to surgery leads to hyperglycaemia. There is continuing debate with regard to the level of glycaemic control and the potential benefits of insulin therapy in both diabetic and non-diabetic patients undergoing cardiac surgery. This review article sets out to discuss the evidence for glycaemic control, as well as the potential benefits of insulin therapy in the form of glucose-insulin-potassium therapy in cardiac surgery.

Keywords: Cardiac surgery, coronary artery bypass grafting, diabetes, glucose-insulin-potassium, insulin, metabolism.


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