Management of Hyperglycemia and Diabetes in Orthopedic Surgery
Funke Akiboye1,2, Gerry Rayman3
1The Diabetes and Endocrine Center, The Diabetes Foot Clinic and Diabetes Research Unit, Ipswich Hospital and University of Birmingham, Suffolk, IP4 5PD, UK.
Abstract:
An increasing number of orthopedic operations are being carried out in an older population in whom the prevalence of diabetes is dramatically increasing. People having surgery with diabetes and hyperglycemia are at increased risk of post-operative complications. The peri-operative risks have been well demonstrated for cardiac surgery and, more recently, for orthopedic surgery. This paper considers the issues surrounding orthopaedic surgery in patients with diabetes and the significance and management of hyperglycemia in the peri-operative period.
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