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Special Considerations: Implementing Enhanced Recovery After Surgery (ERAS) in Patients with Diabetes

Program Date: 7 October 2021

Publication Date: 24 February 2022

Continuing Education Units: Nurse Contact: 1.0; Dietitian CPEU: 1.0; Physician CME: 1.0

Course Description:

In this course, David C. Evans, MD, FACS, FASPEN and Katie Porter Starr, PhD, RDN will discuss the added metabolic impact of diabetes for patients undergoing surgery; evaluate guidelines related to pre-operative, intraoperative, and post-operative glycemic management; and identify special considerations in the Enhanced Recovery After Surgery (ERAS) model for individuals with diabetes. Originally presented as a live webinar on October 7, 2021.

Course Objectives:

• Explain the added metabolic impact of diabetes for patients undergoing surgery.

• Evaluate guidelines related to pre-operative, intraoperative, and post-operative glycemic management to improve patient outcomes.

• Identify special considerations in Enhanced Recovery After Surgery (ERAS) for individuals with diabetes.

Run Time: 45

Course Instructor Bio(s)

David C. Evans, MD, FACS, FASPEN

Trauma/Critical Care Surgeon

Ohio Health Trauma Services

Medical Director, OhioHealth System Nutrition Support Team

Columbus, OH, USA

David C. Evans, MD, FACS, FASPEN is a trauma, acute care, and critical care surgeon at OhioHealth Grant Medical Center in Columbus, Ohio, and Medical Director of the System Nutrition Support Team at OhioHealth--a 12-hospital network. He is also an Adjunct Clinical Professor of Surgery at Ohio University. Prior to his current role, he led the nutrition support and trauma programs at The Ohio State University. His interests include nutrition support in surgical and ICU patients and research in surgery and trauma care. He has served as an investigator in multiple clinical trials in critically ill patients focused in the areas of nutrition and infection and is the author of over 100 peer-reviewed publications.

Katie Porter Starr, PhD, RDN

Assistant Professor, Division of Geriatrics

Duke University School of Medicine Research

Health Scientist, Durham VA Medical Center

Durham, NC, USA

Dr Starr is an Assistant Professor in the Division of Geriatrics in the Department of Medicine at Duke University and a Research Health Scientist at the Durham VA Medical Center, USA. Dr Starr completed her doctorate in Foods and Nutrition at the University of Georgia and received the NIH Ruth L. Kirschstein Post-Doctoral National Research Service Award at Duke’s Center for the Study of Aging. She is the Co-Director of the Center for Aging Clinical Nutrition Laboratory, and her research focuses on older adults at risk for chronic health conditions and functional disability. Currently, she is Co-PI for clinical trials investigating the impact of protein consumption on lean muscle mass in obese, frail older adults undergoing weight loss interventions, and PI for a Career Development Award assessing the benefits of perioperative protein supplementation in vulnerable geriatric populations. Finally, she serves as a content expert for the ASPEN Surgical Nutrition Evidenced Based Guidelines.

Amie Heap, MPH, RDN

Director, Health Policy, Education & Alliances

Director, Abbott Nutrition Health Institute

Columbus, OH, USA

Amie serves as the Director of Health Policy, Education, and Alliances and as the Director of the Abbott Nutrition Health Institute. In this capacity she directs the creation of health and nutrition resources that assist healthcare professionals, and the populations they serve, on a global level. As part of this role, Amie establishes partnerships with domestic and international organizations working to address the challenge of preventing, identifying, and treating malnutrition.

Prior to joining Abbott, Amie served as the Senior Nutrition Advisor in the Office of HIV/AIDS in the Bureau of Global Health at the United States Agency for International Development (USAID). In this position, Amie provided technical assistance to 30 countries in eastern and southern Africa, southeast Asia, and the Caribbean implementing global HIV/nutrition/food security programs. She also served as the HIV/nutrition strategic information liaison to the Office of the Global AIDS Coordinator.

Amie received a Bachelor of Science in Dietetics from Brigham Young University and a Master of Public Health degree from George Washington University.

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