Presentation Details
| Evaluating the Effectiveness of Standardized Preoperative Diabetes Medication Instructions Stephanie Hai Pineda, Mark Kachai, Heike C Knorpp. University of Illinois Hospital & Health Sciences System (UI Health), Chicago, IL, USA |
Abstract
BACKGROUND: Dysglycemia is linked to increased morbidity and mortality and postoperative infections, and prolonged hospital length of stay. Day-of-surgery (DOS) glucose is influenced by diabetic medication adjustments made immediately prior to surgery. Preoperative medication management strategies vary across institutions. We sought to determine the effectiveness of our institution’s standardized preoperative diabetic medication instructions by analyzing DOS preoperative point-of-care glucose values.
METHODS: We conducted a retrospective review of day-of-surgery preoperative glucose levels in adult diabetic patients undergoing elective surgery at the University of Illinois Hospital & Health Sciences System between July 2024 and June 2025. Included were patients who had DOS preoperative point-of-care glucose testing. Data was obtained from an automated report created in EPIC. All patients received standardized medication instructions preoperatively (Table 1). Obstetric patients were excluded.
RESULTS: 3875 adult patients were included. All patients had received standardized medication instructions prior to surgery. 3253 patients had glucose values ≤ 180 mg/dl (84%), 436 patients >180 and ≤ 250 mg/dl (11%) and 186 patients > 250 mg/dl (5%) (Figure 1). Less than 1% of patients (35 patients) were hypoglycemic (≤ 70mg/dl). The lowest glucose level measured was 52mg/dl in 2 patients.
CONCLUSIONS: We validated the effectiveness of our institution’s preoperative medication instructions in achieving preoperative DOS glucose ≤ 180 mg/dl in > 80% of diabetic patients without resulting in severe hypoglycemia. Furthermore, we now have a means to track the impact of modifications to dietary and medication instructions on DOS glucose levels.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
METHODS: We conducted a retrospective review of day-of-surgery preoperative glucose levels in adult diabetic patients undergoing elective surgery at the University of Illinois Hospital & Health Sciences System between July 2024 and June 2025. Included were patients who had DOS preoperative point-of-care glucose testing. Data was obtained from an automated report created in EPIC. All patients received standardized medication instructions preoperatively (Table 1). Obstetric patients were excluded.
RESULTS: 3875 adult patients were included. All patients had received standardized medication instructions prior to surgery. 3253 patients had glucose values ≤ 180 mg/dl (84%), 436 patients >180 and ≤ 250 mg/dl (11%) and 186 patients > 250 mg/dl (5%) (Figure 1). Less than 1% of patients (35 patients) were hypoglycemic (≤ 70mg/dl). The lowest glucose level measured was 52mg/dl in 2 patients.
CONCLUSIONS: We validated the effectiveness of our institution’s preoperative medication instructions in achieving preoperative DOS glucose ≤ 180 mg/dl in > 80% of diabetic patients without resulting in severe hypoglycemia. Furthermore, we now have a means to track the impact of modifications to dietary and medication instructions on DOS glucose levels.
No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, including photocopying, recording, or other electronic or mechanical methods, without the prior written permission of the author.
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