Perioperative treatment of patients with diabetes having eye surgery with local anesthesia in an ambulatory facility

Ophthalmic Surg Lasers Imaging. 2004 May-Jun;35(3):185-8.

Abstract

Background and objective: To evaluate the incidence of hyperglycemia and hypoglycemia in diabetic patients on the morning of eye surgery scheduled under local anesthesia in an ambulatory surgery facility.

Patients and methods: A retrospective analysis of fasting blood glucose levels in 216 diabetic patients on 326 admissions.

Results: The fasting blood glucose level was 80 mg/dL or lower in 10 patient admissions (3%). Hyperglycemia (fasting blood glucose level of greater than 300 mg/dL) was present on 8 admissions (2.4%).

Conclusions: Blood glucose levels need to be monitored in diabetic patients undergoing even short surgical procedures. The dosage of long-acting insulins or oral hypoglycemics given the night prior to surgery may have to be reduced to prevent hypoglycemia on the morning of surgery.

MeSH terms

  • Aged
  • Ambulatory Care Facilities*
  • Anesthesia, Local / methods*
  • Anesthetics, Local / administration & dosage
  • Blood Glucose / analysis
  • Combined Modality Therapy
  • Diabetes Complications
  • Diabetes Mellitus / blood
  • Diabetes Mellitus / drug therapy*
  • Diet Therapy
  • Female
  • Humans
  • Hyperglycemia / diagnosis
  • Hyperglycemia / drug therapy*
  • Hyperglycemia / etiology
  • Hypoglycemia / diagnosis
  • Hypoglycemia / drug therapy*
  • Hypoglycemia / etiology
  • Hypoglycemic Agents / therapeutic use
  • Incidence
  • Insulin / therapeutic use
  • Male
  • Ophthalmologic Surgical Procedures*
  • Perioperative Care
  • Retrospective Studies

Substances

  • Anesthetics, Local
  • Blood Glucose
  • Hypoglycemic Agents
  • Insulin