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[Position statement: surgery and diabetes mellitus (Update 2019)].

Peter Fasching1, Joakim Huber2, Martin Clodi3,4

  • 15. Medizinische Abteilung für Endokrinologie, Rheumatologie und Akutgeriatrie, Wilhelminenspital der Stadt Wien, Montlearstraße 37, 1160, Wien, Österreich. peter.fasching@wienkav.at.

Wiener Klinische Wochenschrift
|April 14, 2019
PubMed
Summary

This position statement outlines the Austrian Diabetes Association's recommendations for perioperative management in patients with diabetes mellitus. It details preoperative assessments and metabolic control strategies using oral antidiabetics and insulin therapy.

Keywords:
Diabetes mellitusInsulin therapyInternal medicine consultationMetabolic controlOral antidiabeticsPerioperative managementSurgery

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Area of Science:

  • Endocrinology and Metabolism
  • Surgical Patient Management

Background:

  • Diabetes mellitus is a common comorbidity in surgical patients.
  • Effective perioperative management is crucial for reducing surgical risks and improving outcomes in diabetic individuals.

Purpose of the Study:

  • To provide evidence-based guidelines for the perioperative care of patients with diabetes mellitus.
  • To offer recommendations on preoperative evaluations and intraoperative metabolic control.

Main Methods:

  • Review of current scientific evidence on diabetes management in surgical settings.
  • Development of a position statement by the Austrian Diabetes Association.

Main Results:

  • The statement covers essential preoperative examinations from an internal medicine and diabetological perspective.
  • It addresses perioperative metabolic control using oral antidiabetics and/or insulin therapy.

Conclusions:

  • Adherence to standardized guidelines ensures optimal perioperative care for diabetic patients.
  • This position statement serves as a valuable resource for clinicians managing surgical patients with diabetes mellitus.