None of the trials examined the effects of the interventions in terms of costs .
AUTHORS ' CONCLUSIONS The included trials did not demonstrate significant differences for most of the outcomes when targeting intensive perioperative glycaemic control compared with conventional glycaemic control in patients with diabetes mellitus .
However , posthoc analysis indicated that intensive glycaemic control was associated with an increased number of patients experiencing hypoglycaemic episodes .
BACKGROUND Patients with diabetes mellitus are at increased risk of postoperative complications .
Data from r and omised clinical trials and meta-analyses point to a potential benefit of intensive glycaemic control , targeting near-normal blood glucose , in patients with hyperglycaemia ( with and without diabetes mellitus ) being su bmi tted to surgical procedures .
However , there is limited evidence concerning this question in patients with diabetes mellitus undergoing surgery .
OBJECTIVES To assess the effects of perioperative glycaemic control for diabetic patients undergoing surgery .
Our experience of controlling diabetes in the peri-operative period of patients who underwent cardiac surgery.
AIMS We have different protocol s applied in our cardiac center for control of blood glucose ( BG ) , we like to see which protocol can achieve our goal . METHODS From a prospect i ve study of 120 diabetic patients r and omly assigned to either simple sliding scale or Braithwaite protocol who underwent open heart surgical procedures between 2005 and 2008 . The study group included 80 patients treated with Braithwaite protocol ;  the control group included 40 patients treated with simple sliding scale in an attempt to maintain BG level less than 200 mg/dl . RESULTS In the study group all the patients were under 200 mg/dl at the end of 48 h postoperatively , which was not achieved in the control group ( P<0.01 ) . There was a significant reduction in hospital stay in the study group compared to the control group ( mean in days 9.1+/-2.3/12.3+/-7.6 ) ( P<0.001 ) and also there was no wound infection compared to the control group ( 0/5 cases ) . CONCLUSION The study showed that control of DM in peri-operative period using Braithwaite regimen was of great benefit and safety
None of the trials examined the effects of the interventions in terms of costs .
AUTHORS ' CONCLUSIONS The included trials did not demonstrate significant differences for most of the outcomes when targeting intensive perioperative glycaemic control compared with conventional glycaemic control in patients with diabetes mellitus .
However , posthoc analysis indicated that intensive glycaemic control was associated with an increased number of patients experiencing hypoglycaemic episodes .
BACKGROUND Patients with diabetes mellitus are at increased risk of postoperative complications .
Data from r and omised clinical trials and meta-analyses point to a potential benefit of intensive glycaemic control , targeting near-normal blood glucose , in patients with hyperglycaemia ( with and without diabetes mellitus ) being su bmi tted to surgical procedures .
However , there is limited evidence concerning this question in patients with diabetes mellitus undergoing surgery .
OBJECTIVES To assess the effects of perioperative glycaemic control for diabetic patients undergoing surgery .