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Diabetes and surgery

G Belcaro, R Cotellese, E Gargano

    Acta Chirurgica Belgica
    |March 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

    Managing diabetes mellitus in surgical patients requires careful preoperative evaluation and intraoperative control. With appropriate intravenous glucose and insulin therapy, diabetic patients undergoing surgery experience complication rates similar to non-diabetic individuals.

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    Area of Science:

    • Surgery
    • Endocrinology
    • Metabolic Disorders

    Background:

    • Diabetes mellitus is a common metabolic disorder encountered in surgical settings.
    • Managing diabetic patients requires attention to hyperglycemia, hypoglycemia, and potential complications.

    Purpose of the Study:

    • To propose treatment schemes for surgical patients with diabetes mellitus.
    • To report and discuss outcomes from a sample of 100 major surgical procedures.

    Main Methods:

    • Preoperative evaluation and careful control during and after surgery.
    • Intravenous (IV) glucose solutions with IV or subcutaneous insulin administration.
    • Continuous IV infusion of 10% glucose with potassium and insulin, monitored closely.

    Main Results:

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    • Adequate treatment resulted in complication rates comparable to non-diabetic patients.
    • Continuous IV glucose infusion with monitoring was found to be safe.

    Conclusions:

    • Effective management protocols can minimize complications in diabetic surgical patients.
    • Continuous intravenous glucose and insulin infusion is a safe and effective strategy when monitored.