Peri-Operative Management of the Surgical Patient With Diabetes: A Guideline Summary

Leigh White


Background: Diabetes significantly increases the risk of morbidity and mortality associated with surgery. These guidelines target anesthetists, providing guidelines for management of the diabetic patients in the pre-operative, peri-operative and post-operative periods.

Methods: The following paper summarizes the Association of Anaesthetists of Great Britain and Ireland clinical guidelines on peri-operative management of the surgical patients with diabetes 2015.

Results: It is recommended that where possible all diabetic patients achieve an HbA1c less than 69 mmol/mol (8.5%) prior to surgery. On the day of surgery, fasting periods should be limited to one meal and if this is not possible, a variable-rate intravenous insulin infusion should be started. Intra-operatively blood glucose should remain between 6 and 10 mmol/L. Post-operatively, the key to resuming normal diabetic management is through returning to an normal diet as soon as possible.

Conclusions: The aim of management of a diabetic patient during the operative period is to maintain normal blood glucose levels (6 - 10 mmol/L). This is achieved through careful pre-operative planning, appropriate management of blood glucose levels and fluid balance intra-operatively and a smooth transition to resume the patients normal diabetic management.

J Endocrinol Metab. 2016;6(3):97-99


Diabetes; Peri-operative; Anesthesia

Full Text: HTML PDF

Browse  Journals  


Journal of Clinical Medicine Research

Journal of Endocrinology and Metabolism

Journal of Clinical Gynecology and Obstetrics


World Journal of Oncology

Gastroenterology Research

Journal of Hematology


Journal of Medical Cases

Journal of Current Surgery

Clinical Infection and Immunity


Cardiology Research

World Journal of Nephrology and Urology

Cellular and Molecular Medicine Research


Journal of Neurology Research

International Journal of Clinical Pediatrics



Journal of Endocrinology and Metabolism, bimonthly, ISSN 1923-2861 (print), 1923-287X (online), published by Elmer Press Inc.                     
The content of this site is intended for health care professionals.
This is an open-access journal distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 International License, which permits unrestricted
non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
Creative Commons Attribution license (Attribution-NonCommercial 4.0 International CC-BY-NC 4.0)

This journal follows the International Committee of Medical Journal Editors (ICMJE) recommendations for manuscripts submitted to biomedical journals,
the Committee on Publication Ethics (COPE) guidelines, and the Principles of Transparency and Best Practice in Scholarly Publishing.

website:   editorial contact:
Address: 9225 Leslie Street, Suite 201, Richmond Hill, Ontario, L4B 3H6, Canada

© Elmer Press Inc. All Rights Reserved.

Disclaimer: The views and opinions expressed in the published articles are those of the authors and do not necessarily reflect the views or opinions of the editors and Elmer Press Inc. This website is provided for medical research and informational purposes only and does not constitute any medical advice or professional services. The information provided in this journal should not be used for diagnosis and treatment, those seeking medical advice should always consult with a licensed physician.