The glycemic awarness initiative resulted in a positive impact on practicepatterns. Undiagnosed diabetes and impaired glucose tolerance are important. Afterthe glycemic awarness initiative, the perioperative use of intravenous insulin infusiontherapy increased in the total population as well as in diabetic patients.During ischemia, the heart has limited oxidative reserve. In hypoxia,Glucose-insulin-Potassium infusion may protect myocardial tissue bymaintaining normal carbohydrate and fatty acid metabolism and thuscell