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Blood Glucose Management in the Neurosurgical Patient 

Blood Glucose Management in the Neurosurgical Patient
Chapter:
Blood Glucose Management in the Neurosurgical Patient
Author(s):

Kevin Furlong

and Satya Villuri

DOI:
10.1093/med/9780190913779.003.0010
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date: 07 April 2020

It is well established that both hyperglycemia and hypoglycemia are important markers for poor outcomes and increased inpatient mortality in both critically ill and general floor patients. Similar, hyperglycemia and hypoglycemia are associated with adverse outcomes in neurosurgical patients. However, the presence of central nervous system injury and its treatment result in significant differences in various aspects of blood glucose management in these patients compared to the general patient population. The purpose of this chapter is to give a brief overview of blood glucose management before, during, and after neurosurgery. Particular emphasis is placed on blood glucose goals in the different inpatient settings, management of blood glucose levels in patients taking glucocorticoids, and the role of nutrition in blood glucose management.

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