Perioperative hypoglycemia in patients with diabetes: incidence after low normal fasting preoperative blood glucose versus after hyperglycemia treated with insulin.

摘要: Perioperatively, insulin to treat hyperglycemia is administered judiciously minimize the risk of hypoglycemia. In patients with diabetes in whom preoperative blood glucose levels are on low end normal, hypoglycemia may be underestimated. This retrospective study enrolled subjects presenting values these ranges: 70 89 mg/dL (low normal group) and above 249 (hyperglycemia-treated group). These groups were compared for subsequent perioperative development. Subjects group (n = 308) older (P < .001), had increased incidence renal disease .02), more prevalent beta-blocker use .02) than hyperglycemia-treated 279). Accounting differences between groups, below was greater (17.2% vs 3.6%, P .001). Of whose fell mg/dL, dropped 50 40% 4% subjects. Perioperative likelier develop who presented preoperatively treated hyperglycemia.