Diabetes Mellitus in Surgical Patients

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[Management of diabetes mellitus in surgical patients].

Patients with diabetes undergo surgical procedures at a higher rate than do nondiabetic people.1,2 Major surgical operations require a period of fasting during which oral antidiabetic medications cannot be used. The stress of surgery itself results in metabolic perturbations that alter glucose homeostasis, and persistent hyperglycemia is a risk factor for endothelial dysfunction,3 postoperative...

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Perioperative management of ambulatory surgical patients with diabetes mellitus.

PURPOSE OF REVIEW Patients with diabetes frequently present for ambulatory surgery concomitant with the rise in incidence of the disease. This review will examine recent evidence on glucose control, the harmful effects of hyperglycemia, fluctuations of blood glucose, and hypoglycemia, as well as treatments and medications utilized for type 1 and type 2 diabetes mellitus. Based on this evidence,...

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Perioperative management of pediatric surgical patients with diabetes mellitus.

UNLABELLED Pediatric patients with diabetes are managed with increasingly complex regimens. To optimally manage these patients during the perioperative period, pediatric anesthesiologists must carefully consider the pathophysiology of the disease, patient-specific methods of treatment, status of glycemic control, and the type of surgery proposed. Important pediatric issues, including body size,...

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Managing diabetes mellitus in the surgical patient

2014 Summary Patients with diabetes mellitus (DM) who undergo surgery experience higher morbidity and mortality than patients without DM. Hyperglycemia is a determinant of risk for surgical complications. Data are limited about whether controlling glucose improves outcomes, but current information supports treating high glucose levels throughout the continuum of surgical care. Despite its high-...

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ژورنال

عنوان ژورنال: BMJ

سال: 1952

ISSN: 0959-8138,1468-5833

DOI: 10.1136/bmj.1.4761.737