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Hellenic Journal of Surgery

, Volume 90, Issue 1, pp 36–40 | Cite as

Glycemic Control of Surgical Patients. What is Correct, What is Not

  • Andreas Kouroumalis
  • N Spantideas
  • Z Kioleoglou
  • K Kokkali
  • D Vamvakopoulou
  • IN Nomikos
Review Article
  • 15 Downloads

Abstract

Perioperative hyperglycemia is very common among critically ill patients with or without diabetes mellitus (DM). Perioperative elevated levels of blood glucose (BG) have been linked with increases in morbidity, infections, anastomotic failure, autoimmune dysfunction, and raised mortality and prolongation of hospitalization. A variety of different approaches have been taken for the control of BG in the perioperative period, and different methods of measurement have been proposed, among which, point of care (POC) meters, arterial blood gas analysis and venous plasma analysis prevail. The aim of this literature review was to provide evidence-based answers as to how BG levels should be monitored. We conclude that more conservative glycemic control is preferable to “tight glycemic control” (TGC), in order to avoid complications associated with episodes of hypoglycemia.

Keywords

Glycemic control surgical patients perioperative hyperglycemia 

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References

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Copyright information

© Hellenic Surgical Society and Springer-Verlag GmbH Austria, part of Springer Nature 2018

Authors and Affiliations

  • Andreas Kouroumalis
    • 1
  • N Spantideas
    • 1
  • Z Kioleoglou
    • 1
  • K Kokkali
    • 1
  • D Vamvakopoulou
    • 2
  • IN Nomikos
    • 1
  1. 1.Department of Surgery (B’ Unit)“Metaxa” Cancer Memorial HospitalPireausGreece
  2. 2.Department of Pediatrics, School of MedicineUniversity of ThessalyThessalyGreece

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