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Preoperative carbohydrate loading in surgical patients with type 2 diabetes: Are concerns supported by data?

Publication ,  Journal Article
Robinson, KN; Cassady, BA; Hegazi, RA; Wischmeyer, PE
Published in: Clin Nutr ESPEN
October 2021

Currently, there is a lack of consensus on the provision of preoperative carbohydrate loading in patients with type 2 diabetes mellitus (T2DM) due to theoretical concerns including the possibility of delayed gastric emptying, perioperative hyperglycemia, and poor surgical outcomes. This narrative review summarizes the accumulating evidence on preoperative carbohydrate loading in this population and whether these concerns are supported by preliminary evidence. In general, the available research suggests that carbohydrate loading may be implemented in those with T2DM without increased risk for intra- and postoperative hyperglycemia or surgical complications. However, there is strong justification for future research to definitively study this highly debated and timely topic. Ultimately, the inclusion of preoperative carbohydrate loading for surgical patients with DM should be guided by the surgical team's clinical judgment and individualized based on patient needs and characteristics.

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Published In

Clin Nutr ESPEN

DOI

EISSN

2405-4577

Publication Date

October 2021

Volume

45

Start / End Page

1 / 8

Location

England

Related Subject Headings

  • Preoperative Care
  • Postoperative Period
  • Hyperglycemia
  • Humans
  • Diet, Carbohydrate Loading
  • Diabetes Mellitus, Type 2
  • 3210 Nutrition and dietetics
  • 3202 Clinical sciences
 

Citation

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Robinson, K. N., Cassady, B. A., Hegazi, R. A., & Wischmeyer, P. E. (2021). Preoperative carbohydrate loading in surgical patients with type 2 diabetes: Are concerns supported by data? Clin Nutr ESPEN, 45, 1–8. https://doi.org/10.1016/j.clnesp.2021.08.023
Robinson, Katie N., Bridget A. Cassady, Refaat A. Hegazi, and Paul E. Wischmeyer. “Preoperative carbohydrate loading in surgical patients with type 2 diabetes: Are concerns supported by data?Clin Nutr ESPEN 45 (October 2021): 1–8. https://doi.org/10.1016/j.clnesp.2021.08.023.
Robinson KN, Cassady BA, Hegazi RA, Wischmeyer PE. Preoperative carbohydrate loading in surgical patients with type 2 diabetes: Are concerns supported by data? Clin Nutr ESPEN. 2021 Oct;45:1–8.
Robinson, Katie N., et al. “Preoperative carbohydrate loading in surgical patients with type 2 diabetes: Are concerns supported by data?Clin Nutr ESPEN, vol. 45, Oct. 2021, pp. 1–8. Pubmed, doi:10.1016/j.clnesp.2021.08.023.
Robinson KN, Cassady BA, Hegazi RA, Wischmeyer PE. Preoperative carbohydrate loading in surgical patients with type 2 diabetes: Are concerns supported by data? Clin Nutr ESPEN. 2021 Oct;45:1–8.
Journal cover image

Published In

Clin Nutr ESPEN

DOI

EISSN

2405-4577

Publication Date

October 2021

Volume

45

Start / End Page

1 / 8

Location

England

Related Subject Headings

  • Preoperative Care
  • Postoperative Period
  • Hyperglycemia
  • Humans
  • Diet, Carbohydrate Loading
  • Diabetes Mellitus, Type 2
  • 3210 Nutrition and dietetics
  • 3202 Clinical sciences