726 Pre-Operative Glycaemic Control in Diabetic Trauma Patients

Abstract Aim To review the preoperative diabetic management of trauma patients pending theatre Method We analysed 2 months admissions including all with diabetes. reviewed them against standards from our trust guidelines which state a blood glucose (BM), HbA1c, and urine analysis should be performed on admission. were commenced variable rate insulin infusions (VRII) as guidance states it considered when patients’ BM is >12 or if patient to miss more meals. Results In study population, 30% did not have admission; 80% an HbA1c. Of those whose admission was over 12; 100% started insulin. The variation came tablet-controlled group 33% VRII 77% not. day surgery 18% had 12. average duration kept nil by mouth 14 hours Conclusions Polytrauma diabetes are at higher risk mortality; they increased surgical site infections, poor wound healing, non-union. This audit highlighted that team recognise importance starting hyperglycemia. However, going forward we need ensure this will direct appropriate use thus hopefully improve patients' outcomes.