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Inpatient Glycemic Protocol for Patients with Diabetes Undergoing Bariatric Surgery.
Obesity Surgery 2015 November
BACKGROUND: Bariatric surgery is a recommended treatment for diabetes in severely obese patients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist.
OBJECTIVE: We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days.
METHODS: The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients.
RESULTS: Patients are offered post-discharge recommendations using the inpatient glycemic protocol.
CONCLUSION: We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.
OBJECTIVE: We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days.
METHODS: The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients.
RESULTS: Patients are offered post-discharge recommendations using the inpatient glycemic protocol.
CONCLUSION: We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.
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