Perioperative hyperglycemia in elective arthroplasties. Should we do better?

The automated insulin delivery systems show great promise to maintain the patient's BG concentration in the target range while eliminating the risk for hypoglycemia, especially when the clinical situation is changing rapidly in the operative room or ICU. We believe that using blood glucose value as the sixth vital sign and the implementation of continuous glucose monitoring systems (CGM or glucose sensors) in the hospital setting would significantly improve perioperative glycemic control. Insulin was not started until 9 am when his BG was 30.5 mmol/l. This emphasizes the importance of glucose control even in patients who are not diagnosed as having diabetes. [Extracted from the article]