Perioperative Care of the Orthopedic Patient with Diabetes Mellitus

  • Naina Sinha GregoryEmail author
  • C. Ronald MacKenzie


The number of people with diabetes continues to rise. In 2015, it was estimated that 30.3 million or 9.4% of the US population had diabetes (Centers for Disease Control and Prevention. National diabetes fact sheet: national estimates and general information on diabetes and prediabetes in the United States. This number is expected to rise with significant implications in both the inpatient and outpatient settings. Patients with diabetes have three times the risk of being hospitalized. Evidence from several trials links inpatient hyperglycemia with poor outcomes including an increased risk of infection and higher mortality. As the number of patients with diabetes increases, so does the number of patients with diabetes having surgical procedures. Infection and impaired healing are significant concerns. As such perioperative glucose management remains an important challenge. In this chapter the key considerations and current evidence guiding management of the patient with diabetes in the perioperative setting is presented.


Inpatient hyperglycemia Hypoglycemia Diabetes Perioperative setting 


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Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.New York Presbyterian Hospital, Weill Cornell MedicineNew YorkUSA
  2. 2.Departments of Rheumatology and Medicine the Hospital for Special Surgery Weill Cornell MedicineNew YorkUSA

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