Abstract:
:As the incidence of diabetes mellitus continues to increase in the United Kingdom, more diabetic patients will present for both elective and emergency surgery. Whilst the underlying pathophysiology of type 1 and type 2 diabetes differs, there is much good evidence that controlling the blood glucose to < or = [corrected] 10 mmol.l(-1) in the peri-operative period for both types of diabetic patients improves outcome. This should be achieved with a glucose-insulin-potassium regimen in all type 1 diabetics and in type 2 diabetics undergoing moderate or major surgical procedures. After surgery, a decrease in the catabolic hormone response resulting from good analgesia and the avoidance of nausea and vomiting should allow early re-establishment of normal glycaemic control.
journal_name
Anaesthesiajournal_title
Anaesthesiaauthors
Robertshaw HJ,Hall GMdoi
10.1111/j.1365-2044.2006.04834.xsubject
Has Abstractpub_date
2006-12-01 00:00:00pages
1187-90issue
12eissn
0003-2409issn
1365-2044pii
ANA4834journal_volume
61pub_type
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