Summary of best evidence for perioperative blood glucose management in patients undergoing bariatric and metabolic surgery
10.3760/cma.j.cn115682-20240724-04154
- VernacularTitle:减重代谢手术患者围手术期血糖管理的最佳证据总结
- Author:
Xiaofang RAN
1
;
Xilan ZHENG
1
;
Jiwei WANG
1
Author Information
1. 遵义医科大学附属医院胃肠外科，遵义 563000
- Publication Type:Journal Article
- Keywords:
Perioperative period;
Bariatric and metabolic surgery;
Blood glucose management;
Blood glucose monitoring;
Best evidence
- From:
Chinese Journal of Modern Nursing
2025;31(18):2412-2418
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To retrieve, screen, and synthesize the best available evidence related to perioperative blood glucose management in patients undergoing bariatric and metabolic surgery.Methods:Relevantliterature on perioperative blood glucose management in bariatric and metabolic surgery patients was retrieved from Chinese and English databases using a top-down strategy based on the "6S" evidence-based model. The search period was from database inception to June 30, 2024. Two evidence-based trained researchers independently screened the literature according to inclusion criteria, assessed methodological quality, and extracted and synthesized the evidence.Results:Fourteen articles were eventually included, comprising five clinical practice guidelines, four expert consensus, two systematic reviews, one evidence summary, and two randomized controlled trials. Eighteen pieces of best evidence were synthesized across seven dimensions: principles of glycemic management, target blood glucose levels, management of hypoglycemic agents, very-low-calorie diet intervention, treatment of postoperative hypoglycemia treatment, self-monitoring of blood glucose, and follow-up and guidance.Conclusions:The best evidence extracted in this study is scientifically sound and clinically applicable, providing evidence-based support and decision-making guidance for perioperative blood glucose management in patients undergoing bariatric and metabolic surgery. However, clinical practitioners need to apply it selectively in the context of hospital and departmental realities when applying it in practice.
