Managing noninsulin glucose-lowering medications before surgery: A comparison of clinical practice guidelines.

IF 3.4 4区医学 Q1 MEDICINE, GENERAL & INTERNAL

Cleveland Clinic Journal of Medicine Pub Date : 2025-07-01 DOI:10.3949/ccjm.92a.24118

Oscar L Morey-Vargas, Mona Gossmann, Jeffrey M Ketz, Basem B Abdelmalak

引用次数: 0

Abstract

Preoperative management of noninsulin glucose-lowering medications can be challenging as clinicians navigate adjustment amid decreased oral intake while maintaining euglycemia and avoiding hyper- or hypoglycemia. The authors review current published guidelines, along with the local protocol currently in place at Cleveland Clinic, to help clinicians determine which noninsulin glucose-lowering drugs may need to be held preoperatively and for how long.

查看原文本刊更多论文

术前管理非胰岛素降糖药物：临床实践指南的比较。

术前管理非胰岛素降糖药物可能具有挑战性，因为临床医生在减少口服摄入量的同时保持血糖正常，避免高血糖或低血糖。作者回顾了目前发表的指南，以及克利夫兰诊所目前的当地协议，以帮助临床医生确定哪些非胰岛素降糖药物可能需要在手术前保留以及保留多长时间。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文求助全文

来源期刊

Cleveland Clinic Journal of Medicine 医学-医学：内科

CiteScore

3.80

自引率

0.00%

发文量

109

审稿时长

6-12 weeks

期刊介绍： The mission of Cleveland Clinic Journal of Medicine (CCJM) is to provide its readers with up-to-date, practical, clinical information relevant to internal medicine, cardiology, and related fields. Consistent with this mission, CCJM focuses on timely review articles and other content that has a continuing-education orientation rather than on original research or case reports. CCJM authors, drawn from Cleveland Clinic and other top medical institutions throughout the world, are asked to identify new findings that are changing the practice of medicine and to advise readers how to apply them in daily patient care. Authors are chosen for their experience, acquired through caring for patients, teaching other physicians, and researching clinical questions.