PERIOPERATIVE GLYCEMIC MANAGEMENT OF DIABETIC PATIENTS UNDERGOING ELECTIVE SURGERY

Hyperglycemia in diabetic patients is associated with adverse clinical outcomes, while improved glycemic control and standard protocols positively affect morbidity and mortality (Frisch et al., 2010; Vogt & Bally, 2020; ADA, 2020). The use of a standardized protocol for intraoperative blood glucose management is supported by the literature and should be adopted to improve clinical outcomes for patients with diabetes undergoing non-cardiac surgery (Frisch et al., 2010; Cho et al., 2018; Vogt & Bally, 2020; ADA, 2020). Anesthesia providers must be educated to improve perioperative glycemic management. To implement a change in practice, Knowles' Adult Learning Theory will be applied to tailor the education modules specifically to anesthesia providers. This project included an educational intervention for anesthesia providers, supplemented by an evidence-based intraoperative blood glucose management protocol. The goal was education of anesthesia providers regarding a perioperative glucose protocol, current practice recommendations, and maintaining patient's blood glucose levels between 100-180 mg/dL