World Journal of Surgery

, Volume 34, Issue 3, pp 500–513 | Cite as

Evidence-based Guidelines for Perioperative Management of Diabetes in Cardiac and Vascular Surgery

  • Jennifer WongEmail author
  • Sophia Zoungas
  • Chris Wright
  • Helena Teede



Management of patients with hyperglycaemia undergoing vascular and cardiac surgery is important, with mounting evidence that hyperglycaemia in this setting is associated with worse outcomes. Evidence-based guidelines for the management of these patients have been limited.


Our institution was aware of the lack of standardization of care in this growing population group and formed a multidisciplinary guideline development group to develop evidence-based guidelines to standardize the perioperative management of hyperglycaemia.


This series of articles outlines the process of developing evidence-based guidelines and the recommendations for perioperative management of patients with hyperglycaemia and diabetes undergoing cardiac and vascular surgery at our institution.


Blood Glucose Metformin Blood Glucose Level Oral Glucose Tolerance Test Glycaemic Control 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



American Diabetes Association


Blood sugar level


Coronary artery bypass grafting


Continuous veno-venous haemodialysis and filtration


Continuous insulin infusion


Diabetes Nurse Educator


Fasting blood glucose


Estimated glomerular filtration rate


Guideline Development Group


Potassium, Insulin and glucose infusion


Glycosylated haemoglobin


Intensive care unit


Impaired fasting glucose


Impaired glucose tolerance


National Health and Medical Research Council


Oral glucose tolerance test


Random blood glucose


Total parenteral nutrition


World Health Organisation



Dr. Wong has received honoraria from Sanofi Aventis, Novo Nordisk, and Lilly Pharmaceuticals for providing educational sessions.


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Copyright information

© Société Internationale de Chirurgie 2010

Authors and Affiliations

  • Jennifer Wong
    • 1
    Email author
  • Sophia Zoungas
    • 2
    • 3
  • Chris Wright
    • 4
  • Helena Teede
    • 5
    • 6
  1. 1.Diabetes and Research UnitDandenong Hospital, Southern HealthDandenongAustralia
  2. 2.The George Institute for International HealthSydneyAustralia
  3. 3.Monash School of Public Health and Preventive MedicineMonash Institute of Health Services ResearchClaytonAustralia
  4. 4.Intensive Care Unit, Southern Health Victoria Australia
  5. 5.Diabetes and Research Unit, Southern HealthVictoria Australia
  6. 6.Monash Institute of Health Services ResearchJean Hailes’ Womens Health Research GroupMelbourne Australia

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