Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics
Abstract Background The American Society of Anesthesiologists (ASA) has an impressive array of professional perioperative guidelines but has not issued a guideline specific to perioperative blood glucose management and does not delve into the topic in their other guidelines. Case report We experienc...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
BMC
2023-06-01
|
| Series: | BMC Anesthesiology |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12871-023-02145-6 |
| _version_ | 1797811367242104832 |
|---|---|
| author | Rabeel Ahmad Rotem Naftalovich George Tewfik Jean Daniel Eloy Daniel T. Rodriguez-Correa |
| author_facet | Rabeel Ahmad Rotem Naftalovich George Tewfik Jean Daniel Eloy Daniel T. Rodriguez-Correa |
| author_sort | Rabeel Ahmad |
| collection | DOAJ |
| description | Abstract Background The American Society of Anesthesiologists (ASA) has an impressive array of professional perioperative guidelines but has not issued a guideline specific to perioperative blood glucose management and does not delve into the topic in their other guidelines. Case report We experienced a perioperative case that highlights the potential difficulty of glucose management in this setting. During anesthetic induction for an orthopedic foot surgery, as the medication was infusing, an IDDM 1 (insulin dependent diabetes mellitus type 1) patient expressed feeling that her blood sugar level was low. Her finger stick after induction showed severe hypoglycemia with a blood glucose of 34 mg/dL. The hypoglycemia was treated with intravenous glucose and further closely monitored. Conclusions This case led us to revisit the different perioperative guidelines and recommendations for diabetic patients and this manuscript aims to highlight the similarities and discrepancies among the different published recommendations. This case highlights the value of utilizing insulin pump infusions in the perioperative setting when available. |
| first_indexed | 2024-03-13T07:21:35Z |
| format | Article |
| id | doaj.art-d27aee42e0d846ccb315920275c37801 |
| institution | Directory Open Access Journal |
| issn | 1471-2253 |
| language | English |
| last_indexed | 2024-03-13T07:21:35Z |
| publishDate | 2023-06-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Anesthesiology |
| spelling | doaj.art-d27aee42e0d846ccb315920275c378012023-06-04T11:37:05ZengBMCBMC Anesthesiology1471-22532023-06-012311510.1186/s12871-023-02145-6Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabeticsRabeel Ahmad0Rotem Naftalovich1George Tewfik2Jean Daniel Eloy3Daniel T. Rodriguez-Correa4Department of Anesthesia & Perioperative Care, Rutgers - New Jersey Medical SchoolDepartment of Anesthesia & Perioperative Care, Rutgers - New Jersey Medical SchoolDepartment of Anesthesia & Perioperative Care, Rutgers - New Jersey Medical SchoolDepartment of Anesthesia & Perioperative Care, Rutgers - New Jersey Medical SchoolDepartment of Anesthesia & Perioperative Care, Rutgers - New Jersey Medical SchoolAbstract Background The American Society of Anesthesiologists (ASA) has an impressive array of professional perioperative guidelines but has not issued a guideline specific to perioperative blood glucose management and does not delve into the topic in their other guidelines. Case report We experienced a perioperative case that highlights the potential difficulty of glucose management in this setting. During anesthetic induction for an orthopedic foot surgery, as the medication was infusing, an IDDM 1 (insulin dependent diabetes mellitus type 1) patient expressed feeling that her blood sugar level was low. Her finger stick after induction showed severe hypoglycemia with a blood glucose of 34 mg/dL. The hypoglycemia was treated with intravenous glucose and further closely monitored. Conclusions This case led us to revisit the different perioperative guidelines and recommendations for diabetic patients and this manuscript aims to highlight the similarities and discrepancies among the different published recommendations. This case highlights the value of utilizing insulin pump infusions in the perioperative setting when available.https://doi.org/10.1186/s12871-023-02145-6DiabetesAnesthesiaPerioperativeBlood glucoseInsulin |
| spellingShingle | Rabeel Ahmad Rotem Naftalovich George Tewfik Jean Daniel Eloy Daniel T. Rodriguez-Correa Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics BMC Anesthesiology Diabetes Anesthesia Perioperative Blood glucose Insulin |
| title | Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics |
| title_full | Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics |
| title_fullStr | Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics |
| title_full_unstemmed | Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics |
| title_short | Near-miss hypoglycemia—reflections on perioperative glucose management guidelines in diabetics |
| title_sort | near miss hypoglycemia reflections on perioperative glucose management guidelines in diabetics |
| topic | Diabetes Anesthesia Perioperative Blood glucose Insulin |
| url | https://doi.org/10.1186/s12871-023-02145-6 |
| work_keys_str_mv | AT rabeelahmad nearmisshypoglycemiareflectionsonperioperativeglucosemanagementguidelinesindiabetics AT rotemnaftalovich nearmisshypoglycemiareflectionsonperioperativeglucosemanagementguidelinesindiabetics AT georgetewfik nearmisshypoglycemiareflectionsonperioperativeglucosemanagementguidelinesindiabetics AT jeandanieleloy nearmisshypoglycemiareflectionsonperioperativeglucosemanagementguidelinesindiabetics AT danieltrodriguezcorrea nearmisshypoglycemiareflectionsonperioperativeglucosemanagementguidelinesindiabetics |