Abstract
Nurses are frequently involved in blood glucose monitoring in patients with diabetes recovering from coronary artery bypass grafting (CABG). The goal is to prevent and limit serious postoperative complications associated with hyperglycaemia (increased blood glucose levels) including sternal and leg wound infections. To achieve this goal it is paramount that hyperglycaemia is detected as early as possible and treated effectively. Many factors are associated with the development of hyperglycaemia among people with diabetes recovering from CABG. The diabetic state itself, the effects of cardiopulmonary bypass (CPB) and the surgical trauma induced during CABG are all influencing factors. However, hyperglycaemia can also be exacerbated through inconsistent blood glucose control in the immediate postoperative phase. Over the past few years, a large body of evidence has highlighted the advances of intensive blood glucose control on postoperative recovery. Blood glucose management protocols can be used to achieve improved outcomes for diabetic patients recovering from CABG.
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