Open AccessPostoperative Hyperglycemia in Patients with and without Diabetes After Major Joint Replacement
Author(s) -
John D. Mannion,
Assar Rather,
Stephen Manifold,
Kelly Gardner,
Margaret McEvilly,
John Yaeger,
Gary Siegelman
Publication year - 2021
Publication title -
jb and js open access
Language(s) - English
Resource type - Journals
ISSN - 2472-7245
DOI - 10.2106/jbjs.oa.20.00172
Subject(s) - medicine , diabetes mellitus , perioperative , insulin , prospective cohort study , surgery , endocrinology
Perioperative hyperglycemia can have an even more detrimental effect on postoperative outcomes in patients without diabetes than in patients with diabetes, but it has not been established if the treatment of patients without diabetes is safe and effective. We hypothesized that sliding-scale insulin for severe postoperative hyperglycemia (glucose ≥180 mg/dL) could lower mean postoperative glucose levels and minimize short-term complications in patients without diabetes undergoing major joint replacement.