Health Care : Current Reviews

Early glucose monitoring in type 2 diabetic patients: A critical factor in postoperative outcomes

35^th Global Healthcare Summit

January 27-28, 2025 Webinar

Natella Shtivelman*, Elena Bukovetzky and Limor Issa

Ziv Medical Center, Israel

Posters & Accepted Abstracts: Health Care Curr Re

Abstract:

Introduction: Diabetes is a metabolic disease of the present era and is characterized by damage to various organs and tissues. Also, various conditions such as stress and taking medication can make things worse to the point of complete imbalance The most vulnerable patient population in the Postoperative Anesthesia Care Unit (PACU). The stress response caused by operation and medication during it can lead to the increase in the secretion of hormones responsible for gluconeogenesis promotion, glycogen decomposition and to insulin resistance, eventually leads to the increased level of blood glucose. Objective: To evaluate the prevalence of post-operative hyperglycaemia and hypoglycaemia in a cohort of type 2 diabetic patients and to assess the impact of early glucose monitoring on clinical outcomes. Methods: This retrospective cohort study included 63 patients (32 males, 31 females) aged 40 years and older with type 2 diabetes, with and without complications, who underwent various surgical procedures. The glucose levels in type 2 diabetes postoperative patients were between 50 and 270 mg/d. Most patients with glucose imbalances were on insulin therapy, it would be beneficial to quantify this finding. Capillary blood glucose levels were measured 30 minutes post-operatively in the recovery room Results: A significant proportion of patients experienced either hyperglycaemia or hypoglycaemia postoperatively. Notably, most patients who exhibited glucose imbalances were on pre-operative insulin therapy. Early identification of these imbalances allowed for timely intervention by the medical team, leading to improved glucose control during the hospitalization period. Conclusion: Our findings highlight the importance of routine post-operative glucose monitoring in type 2 diabetic patients. Early detection of hyperglycaemia or hypoglycaemia enables prompt treatment, reducing the risk of complications, decreasing length of stay, and potentially lowering healthcare costs. Future studies should explore the impact of different surgical procedures, anaesthetic agents, and diabetes medications on post-operative glucose control.