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Title: Perioperative insulin therapy
Authors: Prangmalee Leurcharusmee
Guy Kositratna
De Q. Tran
Thomas Schricker
Keywords: Biochemistry, Genetics and Molecular Biology
Issue Date: 1-Oct-2017
Abstract: © 2017 Prangmalee Leurcharusmee et al. Surgical patients commonly develop hyperglycemia secondary to the neuroendocrine stress response. Insulin treatment of hyperglycemia is required to overcome the perioperative catabolic state and acute insulin resistance. Besides its metabolic actions on glucose metabolism, insulin also displays nonmetabolic physiological effects. Preoperative glycemic assessment, maintenance of normoglycemia, and avoidance of glucose variability are paramount to optimize surgical outcomes. This review discusses the basic physiology and effects of insulin as well as practical issues pertaining to its management during the perioperative period.
ISSN: 1875855X
Appears in Collections:CMUL: Journal Articles

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