Suggested Canadian Standards for Perioperative/Periprocedure Glycemic Management in Patients With Type 1 and Type 2 Diabetes

Ilana Halperin; Janine Malcolm; Sarah Moore; Robyn L Houlden; Canadian Standards for Perioperative/Periprocedure Glycemic Management Expert Consensus Panel

doi:10.1016/j.jcjd.2021.04.009

Suggested Canadian Standards for Perioperative/Periprocedure Glycemic Management in Patients With Type 1 and Type 2 Diabetes

Can J Diabetes. 2022 Feb;46(1):99-107.e5. doi: 10.1016/j.jcjd.2021.04.009. Epub 2021 May 3.

Authors

Ilana Halperin¹, Janine Malcolm², Sarah Moore³, Robyn L Houlden⁴; Canadian Standards for Perioperative/Periprocedure Glycemic Management Expert Consensus Panel

Collaborators

Canadian Standards for Perioperative/Periprocedure Glycemic Management Expert Consensus Panel:
Edith Cloutier⁵, Sylvain Gagne⁶, Annie Garon-Mailer⁵, Julie Gilmour⁷, Robyn L Houlden⁸, Melanie Huffman⁹, Ilana Halperin¹⁰, Carolyn Lawton¹¹, David MacDonald¹², Janine Malcolm¹³, Brenda Mercer¹⁴, Sarah Moore¹⁵, Shannon Ruzycki¹⁶, Phillip Segal¹⁷, Steve Shadowitz¹⁸, Allen Tran¹⁹, Christopher Tran²⁰

Affiliations

¹ Division of Endocrinology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario, Canada. Electronic address: ilana.halperin@sunnybrook.ca.
² Division of Endocrinology and Metabolism, University of Ottawa, Ottawa, Ontario, Canada.
³ Department of Medicine, University of Ottawa and the Ottawa Hospital Research Institute, Ottawa, Ontario, Canada.
⁴ Division of Endocrinology, Queen's University, Kingston, Ontario, Canada.
⁵ Ottawa Hospital, Ottawa, Ontario.
⁶ Department of Anesthesiology and Pain Medicine, Ottawa Hospital, University of Ottawa, Ontario.
⁷ Division of Endocrinology, St. Michael's Hospital, University of Toronto, Toronto, Ontario.
⁸ Division of Endocrinology, Kingston Health Sciences Centre, Queen's University, Kingston, Ontario.
⁹ Diabetes Consult Service, Kingston Health Sciences Centre, Kingston, Ontario.
¹⁰ Division of Endocrinology, Sunnybrook Health Sciences Centre, University of Toronto, Toronto, Ontario.
¹¹ Sunnybrook Health Sciences Centre, Toronto, Ontario.
¹² Department of Anesthesia, Pain Management & Perioperative Medicine, Dalhousie University, Halifax, Nova Scotia.
¹³ Division of Endocrinology and Metabolism, Ottawa Hospital, University of Ottawa, Ottawa, Ontario.
¹⁴ Horizon Health Network, New Brunswick.
¹⁵ School of Nursing, Queen's University, Kingston Health Sciences Centre, Kingston, Ontario.
¹⁶ Department of Medicine, Cumming School of Medicine, University of Calgary, Calgary, Alberta.
¹⁷ Division of Endocrinology, University Health Network/Mount Sinai Hospital, University of Toronto, Toronto, Ontario.
¹⁸ Division of General Internal Medicine, Sunybrook Health Sciences Centre, University of Toronto, Toronto, Ontario.
¹⁹ Division of General Internal Medicine, Dalhousie University, Halifax, Nova Scotia.
²⁰ Division of Endocrinology and Metabolism, University of Ottawa, Ottawa, Ontario.

PMID: 34210609
DOI: 10.1016/j.jcjd.2021.04.009

Abstract

Objectives: The goal of this quality initiative was to develop consensus standards for glycemic management of patients with diabetes who undergo surgical procedures in Canada.

Methods: A modified Delphi method was used to gather broad stakeholder input and arrive at a consensus for perioperative/periprocedure diabetes management.

Results: Glycemic management standards were developed for the following categories: Organization of Care; Preoperative Assessment; Immediate Preoperative and Intraoperative; Postanesthesia Care Unit or Recovery Room; Postoperative Period; and Transition to Outpatient Care.

Conclusions: It is anticipated these standards will serve as a basis to develop clinical tools to support the recommendations.

Keywords: amélioration de la qualité; blood glucose; blood sugar; chirurgie du diabète; diabetes surgery; glycémie; perioperative; periprocedure; péri-interventionnelle; périopératoire; quality improvement.

Publication types

Review

MeSH terms

Canada
Diabetes Mellitus, Type 2* / therapy
Humans