Αποτελέσματα Αναζήτησης
1 Ιαν 2002 · Diabetes is associated with increased requirement for surgical procedures and increased postoperative morbidity and mortality. The stress response to surgery and the resultant hyperglycemia, osmotic diuresis, and hypoinsulinemia can lead to perioperative ketoacidosis or hyperosmolar syndrome.
25 Ιαν 2024 · The effective management of diabetes during the perioperative period is essential, given the increasing prevalence of diabetes mellitus and the subsequent rise in surgical procedures among individuals with diabetes.
These objectives can be accomplished with careful preoperative evaluation, clear patient instructions the day of surgery, frequent blood glucose monitoring during the perioperative period, and use of effective strategies for insulin initiation and titration.
care for people with diabetes undergoing elective and emergency surgery. Delivering whole pathway, quality perioperative care requires multicomponent intervention, with integration across primary, secondary and social care from the moment surgery is contemplated
Patients should have their diabetes medication prescribed as early as possible and ideally before or on admission to hospital. Ensure rescue medication is prescribed to allow prompt treatment of looming hypoglycaemia.
During the fasting state, normal subjects maintain plasma glucose levels between 60-100 mg/dl (3.3-5.5 mmol/l). The stress of surgery and anesthesia alters the finely regulated balance between hepatic glucose production and glucose utilization in peripheral tissues.
19 Ιαν 2024 · Initially, type 2 diabetes is typically managed with oral hypoglycemic agents and lifestyle modifications. Studies have demonstrated that caloric restriction and weight loss can improve glycemic control. [4] Surgery and acute illness are stressors that alter homeostasis and lead to hyperglycemia.
