Intraoperative Glycemic Control

The association of preoperative glycemic control, intraoperative insulin sensitivity, and outcomes after cardiac surgery.

CONTEXT The impairment of insulin sensitivity, a marker of surgical stress, is important for outcomes. OBJECTIVE The aim was to assess the association between the quality of preoperative glycemic control, intraoperative insulin sensitivity, and adverse events after cardiac surgery. DESIGN AND SETTING We conducted a prospective cohort study at a tertiary care hospital. SUBJECTS Nondiabetic...

Polyphenols and Glycemic Control.

Growing evidence from animal studies supports the anti-diabetic properties of some dietary polyphenols, suggesting that dietary polyphenols could be one dietary therapy for the prevention and management of Type 2 diabetes. This review aims to address the potential mechanisms of action of dietary polyphenols in the regulation of glucose homeostasis and insulin sensitivity based on in vitro and i...

Glycemic Control and Hypoglycemia

G lycemic control remains a delicate balancing act. The diabetic patient is tasked with maintaining euglycemic blood glucose levels, a goal requiring education, decision strategies, volitional control, and the wisdom to avoid hyperand hypoglycemia, with the latter defined as plasma glucose less than 60 mg/dl. Glucose levels must be controlled continuously and without holidays. Failure to mainta...

Target for Glycemic Control

I t is commonly admitted that the glycemic control of patients with type 2 diabetes proceeds from a complex “alchemy” in which the respective contributions of both fasting and postprandial glucose are still a subject of debate (1). A1C, which remains the gold standard for assessing glucose homeostasis, is an integration of both fasting and postprandial glucose variations over a 3-month period (...

Metformin : Beyond Glycemic Control