Karolina Machnica1, Silvana Pannain2, Elizabeth Schulwolf3, Jessica Bartfield4, Mary Ann Emanuele5. 1. Department of Medicine, Loyola University Health System, 2160 S. First Ave. Room 7611A, Maywood, IL, 60153, USA. kwmachnica@gmail.com. 2. Section of Endocrinology, Diabetes, and Metabolism, Department of Medicine, The University of Chicago, Chicago, IL, USA. spannain@medicine.bsd.uchicago.edu. 3. Division of Hospital Medicine, Loyola University Health System, Maywood, IL, USA. eschulwolf@lumc.edu. 4. Loyola Center for Metabolic Surgery & Bariatric Care, Loyola University Health System, Melrose Park, IL, USA. jbartfield@lumc.edu. 5. Division of Endocrinology and Metabolism, Loyola University Health System, Maywood, IL, USA. memanue@lumc.edu.
Abstract
BACKGROUND: Bariatric surgery is a recommended treatment for diabetes in severely obese patients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist. OBJECTIVE: We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days. METHODS: The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients. RESULTS: Patients are offered post-discharge recommendations using the inpatient glycemic protocol. CONCLUSION: We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.
BACKGROUND: Bariatric surgery is a recommended treatment for diabetes in severely obesepatients. Their immediate post-operative anti-hyperglycemic requirements differ from other hospitalized diabetics, yet no standardized protocols addressing glycemic control for this group exist. OBJECTIVE: We aimed to create a safe, easily implemented protocol for immediate post-operative glycemic control, which we defined as the first 30 days. METHODS: The protocol was designed by an interdisciplinary workgroup using review of available literature, approved institutional glycemic guidelines, and team members' experience with caring for bariatric surgery patients. RESULTS:Patients are offered post-discharge recommendations using the inpatient glycemic protocol. CONCLUSION: We designed a protocol with low risk of hypoglycemia that addresses the unique glycemic needs of diabetic bariatric population in the immediate post-operative period.
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