[Metabolic control of non insulin dependent diabetes mellitus in surgery].

Abstract:

:We followed 50 type II diabetic patients undergoing various types of surgical procedures. Control of blood sugar was evaluated as percent of tests within an acceptable limit defined as 160 mg/dl in the preoperative period, 80-240 mg/dl in the early postoperative period and 80-120 mg/dl thereafter. Adequate control was present in 56% of tests in the first period, 95% in the second and 70% in the third. Only 2 subjects experienced hypoglycemia with no sequelae. No cases of ketoacidosis or hyperosmolar coma were observed. Overall mortality was 2% and complications included electrolyte alterations in 8%, acid base disturbance in 4% and infection in 16%. Thus, adequate metabolic control and low morbidity and mortality are possible in patients with type II diabetes undergoing surgery.

journal_name

Rev Med Chil

journal_title

Revista medica de Chile

authors

Morales H,Maiz A,Arteaga A

subject

Has Abstract

pub_date

1989-07-01 00:00:00

pages

761-5

issue

7

eissn

0034-9887

issn

0717-6163

journal_volume

117

pub_type

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