The impact of preoperative carbohydrate loading on patients with type II diabetes in an enhanced recovery after surgery protocol.

Publication/Presentation Date

10-1-2020

Abstract

BACKGROUND: We aimed to determine the effects of preoperative carbohydrate-loading (CHO) as part of an enhanced recovery after surgery (ERAS) pathway on patients with/without type II diabetes (DMII).

METHODS: Retrospective review of ERAS patients with CHO, including 80 with DMII, 275 without DMII in addition to 89 patients with DMII from the previous (non-ERAS) year. Outcomes included glucose-levels, insulin requirements, and complications. Logistic regression was used to determine the association of any complication with perioperative glucose control variables.

RESULTS: Among ERAS versus non-ERAS patients with DMII, there were significant differences in median preoperative (142 mg/dL versus 129.5 mg/dL, p = 0.017) and postoperative day-1 glucose levels (152 mg/dL, versus 137.5 mg/dL, p = 0.004). There were no differences in insulin requirements, hypoglycemic episodes, or complications. Complications were not associated with Hgb-A1C%, home DMII-medications, or preoperative glucose measurement on logistic regression.

CONCLUSIONS: Patients with DMII tolerated CHO without increasing insulin requirements or substantially affecting glucose levels or complications.

Volume

220

Issue

4

First Page

999

Last Page

1003

ISSN

1879-1883

Disciplines

Medicine and Health Sciences

PubMedID

32252984

Department(s)

Fellows and Residents

Document Type

Article

Link to Full Text

Share

COinS