[Perioperative metabolism control of diabetic and non-diabetic patients]

Overview on the perioperative metabolism of diabetic patients. The text provides important information for the clinician and summarises the evidence in the international literature. Important studies, background of the diabetic perioperative metabolism, patient screening, existing oral diabetes therapies and insulin regimes, differences between regional and general anesthesia, and important laboratory parameters are discussed. Oral antidiabetics used in Germany, different classes of insulins and possible regimes for the intraoperative management of insulin therapies and important aspects of the postoperative management are presented.