Prise en charge du patient diabétique en chirurgie ambulatoire

Perioperative glucose management for the diabetes patient undergoing ambulatory surgery is very important to their recovery and return to normal life. This management is not difficult for knowledgeable practitioners. There are serious implications of hyperglycemia and glucose variability. Important aspects of the preoperative assessment include evaluation of the patient's level of glucose control and self-management skills, as well as the occurrence of hypoglycemia. The current standards of care for glycemic control for hospitalized patients are easily applied to diabetes patients undergoing ambulatory surgery. The proper management of diabetes medications, including insulin, is vital to optimal glycemic control during the perioperative period.