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Glucose Tolerance Testing in Patients Scheduled for Cardiovascular Surgery
Joost B. L. Hoekstra
Department of Internal Medicine, F4-214, AMC, Meibergdreef 9, 1105 AZ Amsterdam; j.b.hoekstra{at}amc.uva.nl
Frits Holleman
Hans DeVries
Department of Internal Medicine, AMC, Amsterdam
Diabetes and impaired glucose tolerance are largely under-diagnosed in patients with acute atherosclerotic events. This glucose-unawareness is an obstacle for aggressive treatment in these patients. It is suggested to check fasting glucose levels in patients scheduled for cardiovascular surgery and to give intensive insulin therapy perioperatively if fasting glucose levels are greater than 7.0 mmol/L (126 mg/dL). If fasting glucose levels are not elevated an oral glucose tolerance test should be considered so that unknown diabetes can be detected and treated.
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Seminars in Cardiothoracic and Vascular Anesthesia, Vol. 10, No. 1,
7-9 (2006)
DOI: 10.1177/108925320601000103

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