Although studies are conflicting as to the benefit of intensive insulin therapy (IIT) in the critically ill, there is a 6x increase in hypoglycemia incidence in patients treated with IIT.
Anesthesia masks signs and symptoms of hypoglycemia, making intraop hypoglycemia difficult to detect clinically.
We performed this retrospective, observational analysis to:
Determine the incidence of intraoperative hypoglycemia and severe hypoglycemia
Evaluate possible causes of hypoglycemia
Determine intraop monitoring and treatment practices of diabetic patients at a large academic hospital
Schwenk, MD, Eric; Epstein, MD, CPHIMS, Richard H.; and Mraovic, Boris, "Intraoperative Insulin Administration and Hypoglycemia in Diabetic Patients" (2010). Department of Anesthesiology Faculty Papers. Paper 11.