Glycemic Control

Good blood glucose control for diabetic patients having surgery reduces the risk of surgical site infections and promotes healing. Having control of blood glucose prior to surgery lessens the chance of high blood glucose (hyperglycemia) or low blood glucose (hypoglycemia) during and after the operation or procedure.

As many as one-third of patients having surgery are found to have undiagnosed diabetes. Checking blood glucose prior to surgery may identify these patients so that treatment can be initiated to control blood glucose levels before hospitalization.

Perioperative Glucose Control Best Practices

Together with the Washington State Hospital Association (WSHA) and Qualis Health, several high-performing Strong for Surgery hospitals with successful advanced glycemic control programs have partnered with Strong for Surgery to address glycemic control practices for surgical patients across Washington State. The goal of this collaborative is to improve care and reduce surgical site infections through the development of best practices guidelines throughout the perioperative period.

The glycemic control collaborative reviewed current surgical glucose control practices across the State, lessons learned by members of the group, and evidence-based research on successful implementation of intra-operative glucose control to achieve better surgical outcomes. 

Guidelines developed by this collaborative include best practices around closer monitoring of patients at risk of hyperglycemia (rather than focusing solely on patients with diagnosed diabetes) and revised lowered targets for optimal perioperative glucose levels. Download these guidelines through the link below.