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Surgery and diabetes.

D S Schade1

  • 1University of New Mexico School of Medicine, Albuquerque.

The Medical Clinics of North America
|November 1, 1988
PubMed
Summary
This summary is machine-generated.

Managing diabetes during surgery requires careful attention. Intravenous insulin is key for most patients, alongside frequent metabolic monitoring and bedside glucose checks for optimal surgical outcomes.

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Area of Science:

  • Endocrinology
  • Surgical Medicine
  • Metabolic Disorders

Background:

  • Diabetes mellitus presents unique challenges for surgical patients.
  • Perioperative glycemic control is crucial for patient outcomes.
  • Traditional monitoring methods can be insufficient in the surgical setting.

Purpose of the Study:

  • To outline optimal medical treatment strategies for diabetic patients undergoing surgery.
  • To highlight the importance of specific insulin regimens and monitoring techniques.
  • To emphasize advancements in perioperative diabetes management.

Main Methods:

  • Review of current medical literature and clinical guidelines for perioperative diabetes management.
  • Emphasis on intravenous insulin therapy for most diabetic surgical patients.

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  • Discussion of metabolic monitoring protocols, including bedside glucose monitoring.

    • Main Results:

    • Intravenous insulin is recommended for all surgical patients with diabetes, with exceptions for Type II diabetics on diet alone.
    • Frequent metabolic monitoring is critical for successful surgical outcomes.
    • Bedside glucose monitoring represents a significant recent advancement in patient monitoring.

    Conclusions:

    • Effective perioperative management of diabetes is achievable through tailored insulin therapy and vigilant monitoring.
    • Intravenous insulin and frequent glucose monitoring are essential components of diabetic surgical care.
    • Advancements like bedside glucose monitoring have improved the safety and efficacy of managing diabetic patients in surgical settings.