Management of patients undergoing orthopedic surgery to improve blood glucose results


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Curr Diab Rep. 2022 Jan 6; 21 (12): 68. doi: 10.1007 / s11892-021-01434-z.


TEST OBJECTIVE: People with diabetes are more likely to need orthopedic surgery and have an increased risk of developing postoperative complications. Recognizing the impact of diabetes on musculoskeletal health provides an opportunity to educate healthcare professionals to standardize the perioperative approach to people with diabetes.

RECENT RESULTS: Elevated hemoglobin A1C, fructosamine, and blood sugar levels have been associated with an increased risk of complications in the orthopedic population. These risks can be mitigated by early identification and optimization of these patients in the perioperative period. The management of intraoperative and postoperative blood sugar should support efforts to keep blood sugar at safe levels while avoiding hyperglycemia and hypoglycemia. This article examines the factors surrounding the care of diabetes in the orthopedic surgical patient. Perioperative care discussed includes optimization, hospitalization to discharge, and special considerations such as steroids and wearable technology for diabetes. Hospitals should consider these strategies to improve care for people with diabetes requiring musculoskeletal care.

PMID: 34997363 | DOI: 10.1007 / s11892-021-01434-z


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