Insulin for Perioperative Glucose Control: Settled Science?
نویسندگان
چکیده
منابع مشابه
Perioperative management with glucose solution and insulin.
The objective of this study was to analyze how preoperative glucose treatment influences the blood glucose level as a measured exponent of surgical stress and to establish the best postoperative replacement considering glucose solutions and insulin. This prospective clinical trial involved 208 non-diabetic patients with normal glucose tolerance, who underwent major surgical procedures and neede...
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This review mainly focuses on the management of type 2 diabetes in the preoperative setting with a special emphasis on intraoperative glycemic control. Some patients learn their diagnosis of diabetes just prior to the surgery. The prevalence of previously undiagnosed diabetes is reported to be 5.2-10% in literature. Treatment protocols must be tailored individually but evidence based approach i...
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Many neurosurgery patients may have unrecognized diabetes or may develop stress-related hyperglycemia in the perioperative period. Diabetes patients have a higher perioperative risk of complications and have longer hospital stays than individuals without diabetes. Maintenance of euglycemia using intensive insulin therapy (IIT) continues to be investigated as a therapeutic tool to decrease morbi...
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TYPE 2 diabetes mellitus, impaired fasting glucose/impaired glucose tolerance, and stress-induced hyperglycemia (SIH) are ubiquitous in the adult population and represent major public health concerns. Almost 10% of adult Americans have type 2 diabetes mellitus, an additional 20–25% have impaired glucose tolerance/impaired fasting glucose, and an unknown number develop SIH. Upwards of one third ...
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This paper introduces a novel control methodology based on fuzzy controller for a glucose-insulin regulatory system of type I diabetes patient. First, in order to incorporate knowledge about patient treatment, a fuzzy logic controller is employed for regulating the gains of the basis Proportional-Integral (PI) as a self-tuning controller. Then, to overcome the key drawback of fuzzy logic contro...
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ژورنال
عنوان ژورنال: Anesthesiology
سال: 2017
ISSN: 0003-3022
DOI: 10.1097/aln.0000000000001845