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Surgery preparation guide for people with diabetes published

By Editor
19th June 2018

A quick-reference guide for primary care healthcare professionals to prepare people with diabetes for surgery has been published.

A flowchart designed to aid decision-making and avoid post-operative harm has been published by the journal Diabetes & Primary Care. A PDF is available to download and print.

The author is Dr Ketan Dhatariya, consultant in diabetes, endocrinology and general medicine at Norfolk and Norwich University Hospitals NHS Foundation Trust and honorary reader in medicine at University of East Anglia

The article explains: “Hyperglycaemia in people undergoing surgery is associated with post-operative harm. These harms include post-operative infections, acute kidney injury, acute myocardial infarction or death.

“People referred for elective surgery should have an HbA1c of <69 mmol/mol (8.5 per cent) measured within three months prior to referral, if it is safe to achieve this.

“Those at risk of hyperglycaemia – in particular those not known to have diabetes but who are hyperglycaemic – are at particularly high risk. Thus, identifying them prior to referral is important.”

The article suggests “communication is key”, adding: “Informing the surgical team that someone has diabetes reduces delays to surgery and post- operative complications. Currently, this is not being done as often as it could be.”

The guide is part of the journal’s ‘How to’ series which provides readers with a guide to clinical procedures and aspects of diabetes care that are covered in the clinic setting.

To access the document, click here.

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