A New Consensus on Navigating Surgery with Diabetes
A multidisciplinary panel has issued updated, consensus-driven recommendations for the peri-operative management of patients with diabetes mellitus. The guidance, developed through a Delphi process involving diabetologists, anaesthetists, surgeons, pharmacists, and patients, spans the entire surgical pathway. It prioritises individualised care plans, provides clarity on proceeding with surgery when HbA1c is out of range, and offers specific protocols for insulin management, glucose and ketone monitoring, and the safe use of wearable diabetes technologies. The 38 recommendations aim to address organisational issues and clinical errors that contribute to the increased morbidity and mortality seen in surgical patients with diabetes.
Why it might matter to you:
This comprehensive framework directly addresses a high-risk clinical scenario where diabetes management is critical for outcomes. For a specialist overseeing complex cases, these evidence-based protocols can standardise care, reduce preventable complications like hospital-acquired ketoacidosis, and inform institutional policy. The emphasis on individualised plans and new technology integration is particularly relevant for advancing peri-operative standards in a clinical leadership role.
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