alexa Perioperative Glucose Control in the Gastric Bypass Population: How Well Do We Do, How Well Do We Think We Do, and is it Predictable | OMICS International | Abstract
ISSN: 2165-7904

Journal of Obesity & Weight Loss Therapy
Open Access

OMICS International organises 3000+ Global Conferenceseries Events every year across USA, Europe & Asia with support from 1000 more scientific Societies and Publishes 700+ Open Access Journals which contains over 50000 eminent personalities, reputed scientists as editorial board members.

Open Access Journals gaining more Readers and Citations

700 Journals and 15,000,000 Readers Each Journal is getting 25,000+ Readers

This Readership is 10 times more when compared to other Subscription Journals (Source: Google Analytics)

Research Article

Perioperative Glucose Control in the Gastric Bypass Population: How Well Do We Do, How Well Do We Think We Do, and is it Predictable

Mark J Perna*, Amy Wahlquist, Katherine A Morgan, Karl Byrne T and Megan Baker
Department of Surgery, Medical University of South Carolina, Charleston, South Carolina 29425, USA
Corresponding Author : Mark J Perna
Department of Surgery
Medical University of South Carolina
Charleston, South Carolina 29425, USA
Tel: 573-882-6135
E-mail: [email protected]
Received January 23, 2013; Accepted February 28, 2013; Published March 02, 2013
Citation: Perna MJ, Wahlquist A, Morgan KA, Byrne TK, Baker M (2013) Perioperative Glucose Control in the Gastric Bypass Population: How Well Do We Do, How Well Do We Think We Do, and is it Predictable. J Obes Wt Loss Ther 3:162. doi:10.4172/2165-7904.1000162
Copyright: © 2013 Perna MJ, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.

Abstract

Background: Bariatric patients are prone to insulin resistance and Postoperative Hyperglycemia (PH), which adversely affects postoperative care. Clinicians may underestimate PH on surgical wards. We aimed to characterize inpatient Blood Glucose (BG) control and identify predictors of PH after RYGB.
Methods: From a single University-based center, a retrospective review of 431 patients undergoing RYGB was performed. Postoperative inpatient BG control and diabetic therapy were characterized. Attending bariatric surgeons and surgical house staff were surveyed regarding inpatient BG management. BG management was compared, and predictors of PH were identified.
Results: PH (BG>180 mg/dL) was common particularly in patients with HbA1C>6.5%. From the observed sample, the mean postoperative BG was 133.5 ± 2.6 mg/dL, 167.0 ± 6.0 mg/dL, and 190.9 ± 9.2 mg/dL for each increasing HbA1c class, while physician perceived mean postoperative BG was 116.5 ± 7.9 mg/dL (p<0.002), 145.0 ± 9.3 mg/ dL (p<0.003), and 182.8 ± 14.5 mg/dL (p=ns) respectively. However, physicians overestimated the incidence of PH. Postoperative hypoglycemia was rare and also overestimated by clinicians. Four independent predictors of PH were identified, including preoperative HbA1c, preoperative nonfasting BG, a laparoscopic procedure, and preoperative diabetes. PH (mean BG>180 mg/dL) was predicted with a sensitivity of 42%, a specificity of 95%, a PPV of 60%, NPV of 90% and an overall accuracy of 87%.
Conclusions: The incidence of PH is common after RYGB and may be overestimated, while mean postoperative BG may be underestimated. Postoperative hypoglycemia is rare and overestimated. Preoperative HbA1c and nonfasting BG help identify patients at greatest risk PH. 

Peer Reviewed Journals
 
Make the best use of Scientific Research and information from our 700 + peer reviewed, Open Access Journals
International Conferences 2018-19
 
Meet Inspiring Speakers and Experts at our 3000+ Global Annual Meetings

Contact Us

Agri & Aquaculture Journals

Dr. Krish

[email protected]

1-702-714-7001Extn: 9040

Biochemistry Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Business & Management Journals

Ronald

[email protected]

1-702-714-7001Extn: 9042

Chemistry Journals

Gabriel Shaw

[email protected]

1-702-714-7001Extn: 9040

Clinical Journals

Datta A

[email protected]

1-702-714-7001Extn: 9037

Engineering Journals

James Franklin

[email protected]

1-702-714-7001Extn: 9042

Food & Nutrition Journals

Katie Wilson

[email protected]

1-702-714-7001Extn: 9042

General Science

Andrea Jason

[email protected]

1-702-714-7001Extn: 9043

Genetics & Molecular Biology Journals

Anna Melissa

[email protected]

1-702-714-7001Extn: 9006

Immunology & Microbiology Journals

David Gorantl

[email protected]

1-702-714-7001Extn: 9014

Materials Science Journals

Rachle Green

[email protected]

1-702-714-7001Extn: 9039

Nursing & Health Care Journals

Stephanie Skinner

[email protected]

1-702-714-7001Extn: 9039

Medical Journals

Nimmi Anna

[email protected]

1-702-714-7001Extn: 9038

Neuroscience & Psychology Journals

Nathan T

[email protected]

1-702-714-7001Extn: 9041

Pharmaceutical Sciences Journals

Ann Jose

[email protected]

1-702-714-7001Extn: 9007

Social & Political Science Journals

Steve Harry

[email protected]

1-702-714-7001Extn: 9042

 
© 2008- 2018 OMICS International - Open Access Publisher. Best viewed in Mozilla Firefox | Google Chrome | Above IE 7.0 version