Perioperative Management of Diabetes Mellitus: Novel Approaches

  • Nadine E. Palermo
  • Rajesh GargEmail author
Health Care Delivery Systems and Implementation in Diabetes (ME McDonnell and AR Sadhu, Section Editors)
Part of the following topical collections:
  1. Topical Collection on Health Care Delivery Systems and Implementation in Diabetes


Purpose of Review

Several studies have demonstrated the benefits of glycemic control in the perioperative period and there is ongoing interest in development of systematic approaches to achieving glycemic control. This review discusses currently available data and proposes a new approach to the management of hyperglycemia in the perioperative period.

Recent Findings

In a recent study, we demonstrated that early preoperative identification of patients with poorly controlled diabetes and proactive treatment through various phases of surgery improves glycemic control, lowers the risk of surgical complications, and decreases the length of hospital stay.


Implementation of a perioperative diabetes program that systematically identifies and treats patients with poor glycemic control early in the preoperative period is feasible and improves clinical care of patients undergoing elective surgery.


Diabetes mellitus Hyperglycemia Surgery outcomes Perioperative treatment Stress hyperglycemia 


Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest. Many studies performed by the authors are cited in the text.

Human and Animal Right and Informed Consent

This is a review article and it did not involve conducting studies with humans or animals.


Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

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© Springer Science+Business Media, LLC, part of Springer Nature 2019

Authors and Affiliations

  1. 1.Division of Endocrinology, Diabetes and Hypertension, Brigham and Women’s HospitalHarvard Medical SchoolBostonUSA
  2. 2.Comprehensive Diabetes Center, Miller School of MedicineUniversity of MiamiCoral GablesUSA

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