TY - JOUR T1 - Insulin resistance in surgery JO - CirugĂ­a y Cirujanos (English Edition) T2 - AU - Ljungqvist,Olle SN - 24440507 UR - https://www.elsevier.es/en-revista-cirugia-cirujanos-english-edition--237-articulo-insulin-resistance-in-surgery-X2444050716571238 AB - Insulin resistance is a condition in which the effect of insulin falls below normal, affecting glucose metabolism, lipids and proteins. In surgery it presents after an injury is established or during surgical intervention. Depending on the level of trauma, insulin resistance may last for weeks. The best method to evaluate insulin resistance is the hyperinsulinemic-euglycemic clamp technique. With ERAS (Enhanced Recovery After Surgery) programmes and objectives such as preoperative glucose administration, minimally invasive surgery and pain control, insulin resistance is reduced by 50% during abdominal surgery. ER -