Creating a Perioperative Glycemic Control Program

Table 3

Comparisons between Boston Medical Center and Yale New Haven Protocols.

	Boston medical center	Yale new haven
Protocol leadership	Endocrinology, anesthesiology, nursing, pharmacy, and surgery	Endocrinology, intensivist, anesthesiology, nursing, pharmacy, surgery, and administrators
Target intraoperative glucose range	120–180 mg/dL	120–180 mg/dL
Threshold for treatment of perioperative hyperglycemia	>180 mg/dL	>200 mg/dL (pre-op) >180 mg/dl (intra- and post-op)
Threshold for evaluation of metabolic stability preoperatively	>300 mg/dL	At the discretion of the practitioner
Recommendation for cancellation of nonurgent surgery*	>500 mg/dL	>400 mg/dL

*See text for details. Surgery could also be cancelled at the discretion of the provider at a different glucose level based on surgical urgency and procedure risk.