SAMBA and CAS Webinar: Diabetic Management in Ambulatory Surgical Patients

The second round in the CAS SAMBA Ambulatory Anesthesia Collaborative Rounds Series will focus on the updated North American guidelines for perioperative blood glucose management in ambulatory surgery patients with diabetes.

The Society for Ambulatory Anesthesia has recently updated its consensus statement regarding the management of blood glucose in patients with diabetes mellitus undergoing ambulatory surgery; this 2024 update replaces the 2010 guidelines. Similarly, the Canadian Standards for Perioperative/ Periprocedure Glycemic Management Expert Consensus Panel has recently updated its consensus guidelines regarding the perioperative management of patients with Type I and Type II Diabetes; the 2025 update replaces the Canadian 2021 recommendations.

Recent advancements in diabetes management, particularly the introduction of new hypoglycemic agents, insulin pumps, and continuous glucose monitors are reflected in the updates to both the Canadian and American guidelines. These updates are critical for optimizing the perioperative care of the increasing number of diabetic patients. Join the authors of both the new American and Canadian guidelines as we review, compare and contrast the Canadian and American evidence-based recommendations.

Please note: this round has several recommended pre-reading article

1. Goldenberg, R. M., Gilbert, J. D., Houlden, R. L., Khan, T. S., Makhija, S., Mazer, C. D., … Verma, S. (2025). Perioperative and periprocedural management of GLP-1 receptor-based agonists and SGLT2 inhibitors: narrative review and the STOP-GAP and STOP DKA-2 algorithms. Current Medical Research and Opinion, 1–17. https://doi.org/10.1080/03007995.2025.2458538
2. Houlden RL, Gilbert JD, Khan TS, Mazer CD, Trinacty J, Verma S, Goldenberg RM. Perioperative and periprocedural management of once-weekly insulin treated patients. Endocrine Practice. 2025 Jan 28:S1530-891X(25)00033-3. doi: 10.1016/j.eprac.2025.01.009. Epub ahead of print. PMID: 39884510.
3. Rajan R, Duggan EW (Co-First Authors), Abdelmalek B, Butz S, Rodriguez LV, Vann MA, Joshi GP. Society for Ambulatory Anesthesia (SAMBA) updated consensus statement on perioperative blood glucose management in adult patients with diabetes mellitus undergoing ambulatory surgery. Anesthesia & Analgesia. 2024. 139(3): 459-477. doi: 10.1213/ANE.0000000000006791. https://pubmed.ncbi.nlm.nih.gov/38517760/

Presenter:

• Dr. Elizabeth Duggan

Moderator:

• Dr. Ronald Goldenberg

Register here