Perioperative glycaemic control

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Glycaemic control in the perioperative period.

The prevalence of type 2 diabetes mellitus and the potential for perioperative dysglycaemia (hyperglycaemia, hypoglycaemia, stress-induced hyperglycaemia, or glucose variability) continue to increase dramatically. The majority of investigations on perioperative glycaemic control focused on critically ill patients and concentrated on goals of therapy, level of intensity of insulin infusion, feed...

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CLINICAL PRACTICE Glycaemic control in the perioperative period

Editor’s key points † Diabetes mellitus and other disorders of blood glucose regulation are common in perioperative patients. † The optimal management of perioperative dysglycaemia has been shown to improve perioperative outcomes. † Guidelines and recommendations aid in the diagnosis and management of perioperative abnormalities in glucose homeostasis. Summary. The prevalence of type 2 diabetes...

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Clinical benefits of tight glycaemic control: focus on the perioperative setting.

The benefits of tight glycaemic control (TGC) were first shown in cardiac surgical patients with diabetes. These concepts migrated to other surgical and medical specialties through intensive care units caring for a variety of patients with a variety of disease states Although some disagreement and controversy surrounds the use of TGC in the medical population, the benefits of this therapy ir th...

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Glycaemic control in COPD

I t is now clear that hyperglycaemia of even short duration can be associated with adverse outcome in the acutely ill. Thus, the hyperglycaemic state has been associated with increased mortality in patients undergoing cardiothoracic surgery or suffering acute myocardial infarction, in victims of major trauma and those sustaining brain injury, and in association with community acquired pneumonia...

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Glycaemic control in diabetic nephropathy.

To investigate the quality of glycaemic control that is achievable in diabetic patients with persistent proteinuria and asymptomatic but declining renal function three matched groups of patients were studied. The first comprised diabetics with proteinuria receiving continuous subcutaneous insulin infusion; the second, diabetics without proteinuria receiving continuous subcutaneous insulin infus...

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ژورنال

عنوان ژورنال: Anaesthesia Critical Care & Pain Medicine

سال: 2018

ISSN: 2352-5568

DOI: 10.1016/j.accpm.2018.04.007