Perioperative blood glucose control.
- Author:
Yan-bing ZHOU
1
;
Han-cheng LIU
Author Information
1. Department of General Surgery, Qingdao University Medical College Hospital, Qingdao, China. zhouyanbing999@yahoo.com.cn
- Publication Type:Journal Article
- MeSH:
Blood Glucose;
metabolism;
Humans;
Hyperglycemia;
etiology;
therapy;
Hypoglycemia;
prevention & control;
Perioperative Care
- From:
Chinese Journal of Gastrointestinal Surgery
2012;15(6):544-545
- CountryChina
- Language:Chinese
-
Abstract:
Hyperglycemia can result in severe adverse effects on the body. The mortality and morbidity of surgery are increased significantly in diabetic patients. The surgical stress-related hyperglycemia and insulin resistance can also produce the same adverse consequences. The metabolic state of the surgical patients, anesthesia method, glucose infusion, stress-induced neuroendocrine responses and insulin resistance can affect the perioperative blood glucose levels, resulting in poor clinical outcomes. The relationship between tight glycemic control and reducing post-operative mortality and morbidity is not clear. It's necessary to control blood sugar level during the perioperative period but the ideal state of glycemic control still needs a mult-center clinical trial evidence. It is generally believed that perioperative blood glucose level should be controlled below 10 mmol/L. The efficacy and safety of tight glycemic control needs further study.
