Postoperative Dysglycemia in Elective Non-diabetic Surgical Patients

M. H. Yang, M. Jaeger, M. Baxter, E. VanDenKerkhof, J. van Vlymen
2017 Survey of Anesthesiology  
Purpose Elevated glycosylated hemoglobin (HbA1c) is often found in surgical patients with no history of diabetes. The purpose of this prospective observational study was to determine if elevated preoperative HbA1c is associated with postoperative hyperglycemia in non-diabetic surgical patients and to identify predictors of elevated HbA1c. Methods This study included 257 non-diabetic adults scheduled for inpatient surgery. Preoperatively, capillary blood glucose (CBG) and HbA1c were measured and
more » ... c were measured and patients completed the Canadian Diabetes Risk Questionnaire (CANRISK). Capillary blood glucose was measured for two days or until hospital discharge at the following time points: postoperatively, before all meals, and at 22:00 hr. The mean CBG and incidence of hyperglycemia were compared between HbA1c levels: Group I \ 6.0%, Group II 6.0-6.4%, and Group III C 6.5%.
doi:10.1097/01.sa.0000516022.94902.80 fatcat:ym6z6ewgzvbn7b2ap6shjxd7mq