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Perioperative care of diabetic patient
1Department of Anaesthesia and Intensive Care, Lille University Hospital, 69037 Lille, France. pscherpereel@chru-lille.fr
Abstract:
Diabetes mellitus is a common endocrinopathy. Diabetic patients undergoing surgery have to be carefully evaluated in order to lower the risk of perioperative complications. The author reviews the possible pathological involvement of target organs, focusing on cardiovascular pathology, neuropathy, nephropathy, respiratory impairment and joint abnormalities. While a close control of blood glucose is normally mandatory to avoid progressive organ failure, during the perioperative period, well standardized insulin protocols appear to be sufficient to manage the diabetic patient.
Insights
Managing diabetes mellitus during surgery requires careful evaluation to reduce complications. Standardized insulin protocols can effectively manage blood glucose levels in diabetic patients during the perioperative period.
Area of Science:
- Endocrinology
- Surgical Medicine
Background:
- Diabetes mellitus is a prevalent endocrine disorder.
- Diabetic patients undergoing surgery face increased risks of perioperative complications.
- Target organ involvement (cardiovascular, neurological, renal, respiratory, joint) is a concern.
Purpose of the Study:
- To review potential pathological involvement of target organs in diabetic patients during surgery.
- To discuss strategies for managing diabetic patients in the perioperative period.
Main Methods:
- Literature review focusing on perioperative management of diabetes mellitus.
- Analysis of pathological organ involvement in diabetic surgical patients.
Main Results:
- Close blood glucose control is crucial for preventing progressive organ failure.
- Standardized insulin protocols are effective for perioperative diabetes management.
Conclusions:
- Careful preoperative evaluation is essential for diabetic patients undergoing surgery.
- Standardized insulin protocols can adequately manage diabetic patients during the perioperative period, mitigating risks.