The Relevance of Optimal Preoperative Glycemic Control for Outcomes of Patients with Diabetes Undergoing Surgery
Glycemic control significantly impacts morbidity and mortality in surgical patients. A total of 23% of patients were patients with undiagnosed prediabetes or diabetes, underscoring the importance of preoperative HbA1c screening for all patients. Both very low and very high HbA1c levels should be preoperatively addressed, with moderate control (HbA1c 7-8%, 53-64 mmol/mol) identified as optimal. Overall, these findings emphasize the need for personalized diabetes management plans tailored to each patient's needs and should inform clinical guidelines.
Authors
- Emre Gazyakan (ORCID: https://orcid.org/0000-0003-2826-2793)
- Amir K. Bigdeli (ORCID: https://orcid.org/0000-0001-8852-5132)
- Jasmin Rühl (ORCID: https://orcid.org/0000-0002-1721-0640)
- Michael G. Alfertshofer (ORCID: https://orcid.org/0000-0002-4892-2376)
- Dany Y. Matar (ORCID: https://orcid.org/0000-0001-7108-0413)
- Samuel A. Knoedler (ORCID: https://orcid.org/0000-0001-5798-8003)
- Adriana C. Panayi (ORCID: https://orcid.org/0000-0003-4053-9855)
- Ulrich Kneser (ORCID: https://orcid.org/0000-0002-3402-2860)
- Valentin Haug (ORCID: https://orcid.org/0000-0002-2964-979X)
- Gabriel Hundeshagen (ORCID: https://orcid.org/0000-0002-6173-8602)
- Sarah Friedrich (ORCID: https://orcid.org/0000-0003-0291-4378)
- Dennis Paul Orgill (ORCID: https://orcid.org/0000-0002-8279-7310)
Institutions
- Brigham and Women's Hospital (US)
- Harvard University (US)
- Johns Hopkins University (US)
- University of Augsburg (DE)
- Heidelberg University (DE)
- Ludwigshafen University of Business and Society (DE)
- Johns Hopkins Medicine (US)
- Humboldt-Universität zu Berlin (DE)
- Freie Universität Berlin (DE)
- Charité - Universitätsmedizin Berlin (DE)
- Ludwig-Maximilians-Universität München (DE)
Publication Details
- Journal
- Annals of Surgery
- Published
- 2025-02-12
- DOI
- https://doi.org/10.1097/sla.0000000000006664
- Citations
- 6
- Primary Topic
- Hyperglycemia and glycemic control in critically ill and hospitalized patients
- Type
- article
- Field-Weighted Citation Impact
- 7.77