Review Article Guidelines for Perioperative Management of the Diabetic Patient

Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Management of glycemic levels in the perioperative setting is critical, especially in diabetic patients.The effects of surgical stress and anesthesia have unique effects on blood glucose levels, which should be taken into consideration to maintain optimum glycemic control. Each stage of surgery presents unique challenges in keeping glucose levels within target range. Additionally, there are special operative conditions that require distinctive glucosemanagement protocols. Interestingly, the literature still does not report a consensus perioperative glucosemanagement strategy for diabetic patients.We hope to outline themost important factors required in formulating a perioperative diabetic regimen, while still allowing for specific adjustments using prudent clinical judgment. Overall, through careful glycemic management in perioperative patients, we may reduce morbidity and mortality and improve surgical outcomes. 1