TYK28
Current adult guidelines for intraoperative glucose control recommend which of the following ranges for glucose control?
A. <80 mg/dL
B. 80-110 mg/dL
C. 100-140 mg/dL
D. 140-180 mg/dL
E. <250 mg/dL
Answer
The answer is D. Ok, so this is an easy one, but a good point of review. Although there was an older study that suggested better outcomes with tight glycemic control (<110 mg/dL), there have been multiple studies since that demonstrate no improvement in outcomes with tight glycemic control. This target is also associated with increased risks of hypoglycemic (especially under anesthesia where symptoms may be masked). Hyperglycemia is known to be associated with poor wound healing, increased hospital stays and increased mortality. Therefore, adult guidelines now suggest glycemic control intraoperatively with a goal of 140-180 mg/dL.
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