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  • Title: Perioperative treatment of patients with diabetes having eye surgery with local anesthesia in an ambulatory facility.
    Author: Kollarits CR, Kendrick RM, Guess M.
    Journal: Ophthalmic Surg Lasers Imaging; 2004; 35(3):185-8. PubMed ID: 15185785.
    Abstract:
    BACKGROUND AND OBJECTIVE: To evaluate the incidence of hyperglycemia and hypoglycemia in diabetic patients on the morning of eye surgery scheduled under local anesthesia in an ambulatory surgery facility. PATIENTS AND METHODS: A retrospective analysis of fasting blood glucose levels in 216 diabetic patients on 326 admissions. RESULTS: The fasting blood glucose level was 80 mg/dL or lower in 10 patient admissions (3%). Hyperglycemia (fasting blood glucose level of greater than 300 mg/dL) was present on 8 admissions (2.4%). CONCLUSIONS: Blood glucose levels need to be monitored in diabetic patients undergoing even short surgical procedures. The dosage of long-acting insulins or oral hypoglycemics given the night prior to surgery may have to be reduced to prevent hypoglycemia on the morning of surgery.
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