Efficacy and Safety of a Continuous Intravenous Insulin Protocol Modified for East Asians in Postoperative Glycemic Management Following Pancreatectomy.

Hironobu Sasaki, Kazuma Yagi, Ryota Kogure, Masayuki Honda, Dal Ho Kim

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Article in Cureus, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Hironobu SasakiDivision of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Sainokuni Higashiomiya Medical Center, Saitama, JPN.

Kazuma YagiDivision of Diabetes, Metabolism and Endocrinology, Department of Internal Medicine, Sainokuni Higashiomiya Medical Center, Saitama, JPN.

Ryota KogureDepartment of Surgery, Sainokuni Higashiomiya Medical Center, Saitama, JPN.

Masayuki HondaDepartment of Surgery, Sainokuni Higashiomiya Medical Center, Saitama, JPN.

Dal Ho KimDepartment of Surgery, Sainokuni Higashiomiya Medical Center, Saitama, JPN.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction Glycemic control following pancreatectomy presents challenges, especially in patients with diabetes due to a lack of endogenous insulin, however, optimal management remains unclear. This study evaluated the efficacy and safety of a continuous intravenous insulin infusion protocol employed at our institution, in comparison with conventional glycemic control in patients with pancreatectomy. Materials and methods Sixty-one patients with preoperative glycosylated hemoglobin (HbA1c) of 6.5% or higher, on diabetes medications, or who underwent total pancreatectomy were included. Patients were categorized into three groups: insulin protocol (IP group,

Indexed as

diabetesglycemic controlinsulin protocolintravenous insulin infusionpancreatectomypostoperative hyperglycemia

Identifiers

PMID40400655

DOI10.7759/cureus.84527

PMCPMC12094835

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