Diabetes mellitus: anaesthetic management.

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

Anaesthesia

journal_title

Anaesthesia

authors

Robertshaw HJ,Hall GM

doi

10.1111/j.1365-2044.2006.04834.x

subject

Has Abstract

pub_date

2006-12-01 00:00:00

pages

1187-90

issue

12

eissn

0003-2409

issn

1365-2044

pii

ANA4834

journal_volume

61

pub_type

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