Perioperative management of adult diabetic patients. The role of the diabetologist

Gaëlle Cheisson; Sophie Jacqueminet; Emmanuel Cosson; Carole Ichai; Anne-Marie Leguerrier; Bogdan Nicolescu-Catargi; Alexandre Ouattara; Igor Tauveron; Paul Valensi; Dan Benhamou; working party approved by the French Society of Anaesthesia and Intensive Care Medicine (SFAR) and the French Society for the study of Diabetes (SFD)

doi:10.1016/j.accpm.2017.10.009

Perioperative management of adult diabetic patients. The role of the diabetologist

Anaesth Crit Care Pain Med. 2018 Jun:37 Suppl 1:S37-S38. doi: 10.1016/j.accpm.2017.10.009. Epub 2018 Jan 6.

Affiliations

¹ Anaesthesia and intensive care department, hôpitaux universitaires Paris-Sud, AP-HP, hôpital de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France.
² Heart metabolism and nutrition institute, AP-HP, hôpital de la Pitié-Salpêtrière, 75013 Paris, France; Department of diabetes and metabolic diseases, hôpital de la Pitié-Salpêtrière, 75013 Paris, France.
³ CRNH-IdF, CINFO, endocrinology-diabetology-nutrition department, hôpital Jean-Verdier, AP-HP, université Paris 13, Sorbonne Paris Cité, 93140 Bondy, France; Inserm, UMR U1153, U1125 INRA/CNAM, Sorbonne Paris Cité, université Paris 13, 93000 Bobigny, France.
⁴ Polyvalent intensive care department, hôpital Pasteur 2, CHU de Nice, 30, voie Romaine, 06001 Nice cedex 1, France; IRCAN (Inserm U1081, CNRS UMR 7284), University Hospital of Nice, 06001 Nice, France.
⁵ Endocrinology and diabetology department, CHU de Rennes, CHU hôpital Sud, 16, boulevard de Bulgarie, 35056 Rennes, France.
⁶ Metabolic diseases and endocrinology department, hôpital Saint-André, CHU de Bordeaux, 1, rue Jean-Burguet, 33000 Bordeaux, France.
⁷ CHU de Bordeaux, department of anaesthesia and critical care II, Magellan medico-surgical center, 33000 Bordeaux, France; Inserm, UMR 1034, Université Bordeaux, biology of cardiovascular diseases, 33600 Pessac, France.
⁸ Endocrinology and diabetology department, CHU de Clermont-Ferrand, 58, rue Montalembert, 63000 Clermont-Ferrand, France; UFR médecine, université Clermont-Auvergne, 28, place Henri-Dunant, 63000 Clermont-Ferrand, France; Inserm U1103, UMR CNRS 6293, génétique reproduction et développement, université Clermont-Auvergne, 63170 Aubière, France; Endocrinology and diabetology department, CHU G.-Montpied BP 69, 63003 Clermont-Ferrand, France.
⁹ CRNH-IdF, CINFO, endocrinology-diabetology-nutrition department, hôpital Jean-Verdier, AP-HP, université Paris 13, Sorbonne Paris Cité, 93140 Bondy, France.
¹⁰ Anaesthesia and intensive care department, hôpitaux universitaires Paris-Sud, AP-HP, hôpital de Bicêtre, 78, rue du Général-Leclerc, 94275 Le Kremlin-Bicêtre, France. Electronic address: dan.benhamou@aphp.fr.

PMID: 29317312
DOI: 10.1016/j.accpm.2017.10.009

Abstract

A patient should be referred to a diabetologist perioperatively in several circumstances: preoperative recognition of a previously unknown diabetes or detection of glycaemic imbalance (HbA1c <5% or >8%); during hospitalisation, recognition of a previously unknown diabetes, persisting glycaemic imbalance despite treatment or difficulty resuming previously used chronic treatment; postoperatively and after discharge from hospital, for all diabetic patients in whom HbA1c is >8%.

Keywords: Diabetes; Diabetologist; Glycaemic imbalance; HbA1c; Perioperative.

Publication types

Guideline
Research Support, Non-U.S. Gov't
Review

MeSH terms

Adult
Diabetes Mellitus / therapy*
Humans
Perioperative Care / methods*
Physicians*
Professional Role