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Endocrine Care for the Surgical Patient: Diabetes Mellitus, Thyroid and Adrenal Conditions. | LitMetric

Endocrine Care for the Surgical Patient: Diabetes Mellitus, Thyroid and Adrenal Conditions.

Med Clin North Am

Division of Endocrinology, Diabetes and Metabolism, Department of Internal Medicine, University of Miami, Miller School of Medicine, FL 33136, USA.

Published: November 2024

AI Article Synopsis

  • Patients with high blood sugar, thyroid problems, and low adrenal function have more risks when having surgery, but good management can help!
  • The review gives advice on how to control blood sugar and manage diabetes medications for surgery!
  • It also talks about when to delay surgery for thyroid issues and how to handle stress medications safely during and after surgery!

Article Abstract

Patients with hyperglycemia, thyroid dysfunction, and adrenal insufficiency face increased perioperative risk, which may be mitigated by appropriate management. This review addresses preoperative glycemic control, makes evidence-based recommendations for the increasingly complex perioperative management of noninsulin diabetes medications, and provides guideline-supported strategies for the perioperative management of insulin, including suggested indications for continuous intravenous insulin. The authors propose a strategy for determining when surgery should be delayed in patients with thyroid dysfunction and present a matrix for managing perioperative stress dose corticosteroids based on the limited evidence available.

Download full-text PDF

Source
http://dx.doi.org/10.1016/j.mcna.2024.04.007DOI Listing

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