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Inpatient Glycemic Protocol for Patients with Diabetes Undergoing Bariatric Surgery

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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.

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Conflict of Interest

The authors declare that they have no conflict of interests.

Ethical Approval

This article does not contain any studies with human participants or animals performed by any of the authors.

Informed Consent

Informed consent is not applicable in this study.

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Authors and Affiliations

  1. Department of Medicine, Loyola University Health System, 2160 S. First Ave. Room 7611A, Maywood, IL, 60153, USA

    Karolina Machnica

  2. Section of Endocrinology, Diabetes, and Metabolism, Department of Medicine, The University of Chicago, Chicago, IL, USA

    Silvana Pannain

  3. Division of Hospital Medicine, Loyola University Health System, Maywood, IL, USA

    Elizabeth Schulwolf

  4. Loyola Center for Metabolic Surgery & Bariatric Care, Loyola University Health System, Melrose Park, IL, USA

    Jessica Bartfield

  5. Division of Endocrinology and Metabolism, Loyola University Health System, Maywood, IL, USA

    Mary Ann Emanuele

Authors
  1. Karolina Machnica
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  2. Silvana Pannain
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  3. Elizabeth Schulwolf
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  4. Jessica Bartfield
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  5. Mary Ann Emanuele
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Corresponding author

Correspondence to Karolina Machnica.

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Machnica, K., Pannain, S., Schulwolf, E. et al. Inpatient Glycemic Protocol for Patients with Diabetes Undergoing Bariatric Surgery. OBES SURG 25, 2200–2204 (2015). https://doi.org/10.1007/s11695-015-1860-y

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  • DOI: https://doi.org/10.1007/s11695-015-1860-y

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