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Preoperative and Perioperative Management of Diabetics Undergoing Elective Foot and Ankle Surgery
Patrick Cole McGregor1, Ryan LeDuc1
1Loyola Medical Center, 2160 South 1st Avenue, Maguire Center, Suite 1700, Maywood, IL 60153, USA.
Abstract:
Diabetics are a highly comorbid population with an elevated risk profile when undergoing surgery. Proper preparation and management of modifiable risk factors can optimize outcomes in diabetics. A multidisciplinary approach to preoperative optimization, including surgeons, primary care providers, and anesthesiologists, ensures diabetic patients receive comprehensive evaluation before elective surgery. Orthopedic surgeons must understand preoperative optimization goals as they pertain to nutrition, glycemic control, and cardiovascular disease in diabetic patients.
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