Perioperative Management of Diabetes Mellitus: Novel Approaches


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.

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Fig. 1


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

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Correspondence to Rajesh Garg.

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Palermo, N.E., Garg, R. Perioperative Management of Diabetes Mellitus: Novel Approaches. Curr Diab Rep 19, 14 (2019).

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  • Diabetes mellitus
  • Hyperglycemia
  • Surgery outcomes
  • Perioperative treatment
  • Stress hyperglycemia