Udfordringer for perioperativ glykæmisk kontrol hos patienter med diabetes
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Udfordringer for perioperativ glykæmisk kontrol hos patienter med diabetes. / Madsbad, Sten; Wiberg, Mikkel; Issa, Luma Mahmoud; Schmidt, Signe; Kehlet, Henrik.
In: Ugeskrift for Laeger, Vol. 184, No. 42, V05220321, 17.10.2022.Research output: Contribution to journal › Review › Research › peer-review
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TY - JOUR
T1 - Udfordringer for perioperativ glykæmisk kontrol hos patienter med diabetes
AU - Madsbad, Sten
AU - Wiberg, Mikkel
AU - Issa, Luma Mahmoud
AU - Schmidt, Signe
AU - Kehlet, Henrik
PY - 2022/10/17
Y1 - 2022/10/17
N2 - In surgical patients, diabetes is associated with increased length of hospital stay and complications. Optimal glycaemic control is important to reduce complications, and enhanced recovery after surgery/fast-track protocols reduce the impact of surgery on glucose homeostasis. Guidelines for perioperative diabetes management are complex and not always supported by highest-grade evidence; this also includes guidelines for use of newer peroral antidiabetic drugs. Technology for automated insulin delivery based on continuous glucose monitoring is available and could potentially simplify and improve perioperative diabetic management, as argued in this review.
AB - In surgical patients, diabetes is associated with increased length of hospital stay and complications. Optimal glycaemic control is important to reduce complications, and enhanced recovery after surgery/fast-track protocols reduce the impact of surgery on glucose homeostasis. Guidelines for perioperative diabetes management are complex and not always supported by highest-grade evidence; this also includes guidelines for use of newer peroral antidiabetic drugs. Technology for automated insulin delivery based on continuous glucose monitoring is available and could potentially simplify and improve perioperative diabetic management, as argued in this review.
KW - Humans
KW - Glycemic Control
KW - Blood Glucose
KW - Blood Glucose Self-Monitoring
KW - Diabetes Mellitus
KW - Hypoglycemic Agents/therapeutic use
KW - Length of Stay
KW - Perioperative Care
KW - Postoperative Complications
M3 - Review
C2 - 36305254
VL - 184
JO - Ugeskrift for Laeger
JF - Ugeskrift for Laeger
SN - 0041-5782
IS - 42
M1 - V05220321
ER -
ID: 326028528