{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T12:06:01Z","timestamp":1793361961904,"version":"4.5.0"},"reference-count":71,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T00:00:00Z","timestamp":1771200000000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["associationofanaesthetists-publications.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Anaesthesia"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>Summary<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Surgery in patients with diabetes mellitus is associated with increased morbidity and mortality compared with those who do not have diabetes mellitus. This is likely multifactorial and could be attributed to organisational issues; dysglycaemia; hospital\u2010acquired diabetic ketoacidosis; errors with insulin prescribing and administration; issues with fluids and electrolytes; and systemic and surgical site infections. There was a need to update guidance for the peri\u2010operative management of diabetes mellitus given improvements in our understanding, introduction of novel drugs and development of wearable technologies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>This was a multidisciplinary consensus statement with a diverse authorship group, including diabetologists; anaesthetists; surgeons; pharmacists; surgical diabetes inpatient specialist nurses; and patients with lived experience. We undertook a directed literature search and a three\u2010round Delphi process to develop, refine and agree recommendations.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Following three rounds, 38 recommendations were included, spanning all phases of the peri\u2010operative pathway. Recommendations were made for organisations and general principles for the management of patients with diabetes, aiming to improve pathways, implement protocols and support training. We prioritise individualised care plans, encourage clinical judgement regarding proceeding with surgery with out\u2010of\u2010range HbA1c concentrations and recommend ensuring appropriate insulin regimens are prescribed and administered. We also provide guidance for capillary blood glucose and ketone monitoring and management; safe handovers of care; and multidisciplinary care plans for the peri\u2010operative use of wearables.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>This consensus statement provides principles to be applied throughout the entire peri\u2010operative pathway by healthcare professionals, institutions and patients. It is hoped that the implementation of these key recommendations will improve experience and outcomes for patients with diabetes mellitus having surgery.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/anae.70181","type":"journal-article","created":{"date-parts":[[2026,2,16]],"date-time":"2026-02-16T12:41:38Z","timestamp":1771245698000},"page":"1116-1131","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":10,"title":["Peri\u2010operative management of diabetes mellitus: a multidisciplinary consensus statement from the Association of Anaesthetists and the Joint British Diabetes Societies for Inpatient Care group"],"prefix":"10.1111","volume":"81","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-2225-1535","authenticated-orcid":false,"given":"Nicholas A.","family":"Levy","sequence":"first","affiliation":[{"name":"Department of Anaesthesia and Perioperative Medicine, West Suffolk NHS Foundation Trust  Bury St Edmunds Suffolk UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9912-717X","authenticated-orcid":false,"given":"Kariem","family":"El\u2010Boghdadly","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia and Perioperative Care, Guy's and St Thomas' NHS Foundation Trust  London UK"},{"name":"King's College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1187-5796","authenticated-orcid":false,"given":"Dileep N.","family":"Lobo","sequence":"additional","affiliation":[{"name":"Nottingham Digestive Diseases Centre, Division of Translational Medical Sciences, School of Medicine, University of Nottingham, Queen's Medical Centre  Nottingham UK"},{"name":"Division of Surgery, Perelman School of Medicine University of Pennsylvania  Philadelphia Pennsylvania USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2778-5226","authenticated-orcid":false,"given":"Daniel J.","family":"Stubbs","sequence":"additional","affiliation":[{"name":"NIHR Advanced Fellow Perioperative Acute Critical, and Emergency Care Section University of Cambridge  Cambridge UK"},{"name":"Department of Anaesthesia Cambridge University Hospitals NHS Foundation Trust, Addenbrooke's Hospital  Hills Road Cambridge UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9047-3589","authenticated-orcid":false,"given":"Parizad","family":"Avari","sequence":"additional","affiliation":[{"name":"Department of Diabetes and Endocrinology, Imperial College Healthcare NHS Trust  London UK"},{"name":"Department of Metabolism, Digestion and Reproduction, Imperial College London  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3922-4397","authenticated-orcid":false,"given":"Donal","family":"Buggy","sequence":"additional","affiliation":[{"name":"Department of Anaesthesia, Mater Misericordiae University Hospital, School of Medicine, University College Dublin  Dublin Ireland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0007-8197-792X","authenticated-orcid":false,"given":"Claire","family":"Frank","sequence":"additional","affiliation":[{"name":"Wrexham Maelor Hospital, Betsi Cadwaladr University Health Board  Wrexham UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kim","family":"Howson","sequence":"additional","affiliation":[{"name":"James Paget University Hospital NHS Foundation Trust  Great Yarmouth UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jinty","family":"Moffett","sequence":"additional","affiliation":[{"name":"Patient representative  Kingussie UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0009-2111-9848","authenticated-orcid":false,"given":"Emma","family":"Morris","sequence":"additional","affiliation":[{"name":"Stockport NHS Foundation Trust  Stockport UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3123-809X","authenticated-orcid":false,"given":"Omar G.","family":"Mustafa","sequence":"additional","affiliation":[{"name":"Department of Diabetes, King's College Hospital  London UK"},{"name":"Centre for Education, Faculty of Life Sciences &amp; 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