Perioperative insulin therapy

Perioperative insulin therapy

© 2017 Prangmalee Leurcharusmee et al. Surgical patients commonly develop hyperglycemia secondary to the neuroendocrine stress response. Insulin treatment of hyperglycemia is required to overcome the perioperative catabolic state and acute insulin resistance. Besides its metabolic actions on glucose...

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Main Authors: Prangmalee Leurcharusmee, Guy Kositratna, De Q. Tran, Thomas Schricker
Format: Journal
Published: 2018
Subjects:
Biochemistry, Genetics and Molecular Biology
Online Access:https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056261845&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/62991
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Institution: Chiang Mai University
id th-cmuir.6653943832-62991
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spelling th-cmuir.6653943832-629912018-12-14T04:18:45Z Perioperative insulin therapy Prangmalee Leurcharusmee Guy Kositratna De Q. Tran Thomas Schricker Biochemistry, Genetics and Molecular Biology © 2017 Prangmalee Leurcharusmee et al. Surgical patients commonly develop hyperglycemia secondary to the neuroendocrine stress response. Insulin treatment of hyperglycemia is required to overcome the perioperative catabolic state and acute insulin resistance. Besides its metabolic actions on glucose metabolism, insulin also displays nonmetabolic physiological effects. Preoperative glycemic assessment, maintenance of normoglycemia, and avoidance of glucose variability are paramount to optimize surgical outcomes. This review discusses the basic physiology and effects of insulin as well as practical issues pertaining to its management during the perioperative period. 2018-12-14T04:18:45Z 2018-12-14T04:18:45Z 2017-10-01 Journal 1875855X 19057415 2-s2.0-85056261845 10.1515/abm-2018-0014 https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056261845&origin=inward http://cmuir.cmu.ac.th/jspui/handle/6653943832/62991
institution Chiang Mai University
building Chiang Mai University Library
country Thailand
collection CMU Intellectual Repository
topic Biochemistry, Genetics and Molecular Biology
spellingShingle Biochemistry, Genetics and Molecular Biology
Prangmalee Leurcharusmee
Guy Kositratna
De Q. Tran
Thomas Schricker
Perioperative insulin therapy
description © 2017 Prangmalee Leurcharusmee et al. Surgical patients commonly develop hyperglycemia secondary to the neuroendocrine stress response. Insulin treatment of hyperglycemia is required to overcome the perioperative catabolic state and acute insulin resistance. Besides its metabolic actions on glucose metabolism, insulin also displays nonmetabolic physiological effects. Preoperative glycemic assessment, maintenance of normoglycemia, and avoidance of glucose variability are paramount to optimize surgical outcomes. This review discusses the basic physiology and effects of insulin as well as practical issues pertaining to its management during the perioperative period.
format Journal
author Prangmalee Leurcharusmee
Guy Kositratna
De Q. Tran
Thomas Schricker
author_facet Prangmalee Leurcharusmee
Guy Kositratna
De Q. Tran
Thomas Schricker
author_sort Prangmalee Leurcharusmee
title Perioperative insulin therapy
title_short Perioperative insulin therapy
title_full Perioperative insulin therapy
title_fullStr Perioperative insulin therapy
title_full_unstemmed Perioperative insulin therapy
title_sort perioperative insulin therapy
publishDate 2018
url https://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=85056261845&origin=inward
http://cmuir.cmu.ac.th/jspui/handle/6653943832/62991
_version_ 1681425909215657984

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