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  1. 25 Ιαν 2024 · Objectives: Identify diabetic patients at risk by recognizing key factors, such as type of diabetes, glycemic control, and susceptibility to hypoglycemia, during preoperative assessment. Assess the effectiveness of diverse antidiabetic medications and glycemic targets in preventing complications.

  2. 31 Ιαν 2006 · In particular, the utility of stress testing among asymptomatic diabetic patients remains an area of active study. The following article seeks to review the diagnostic and prognostic value of exercise ECG and stress imaging tests in symptomatic and asymptomatic patients with DM.

  3. 29 Σεπ 2015 · Modern management of the surgical patient with diabetes focuses on: thorough pre-operative assessment and optimisation of their diabetes (as defined by a HbA1c < 69 mmol.mol −1); deciding if the patient can be managed by simple manipulation of pre-existing treatment during a short starvation period (maximum of one missed meal) rather than use of...

  4. Good preoperative assessment and planning are critical for the optimal perioperative management of diabetes mellitus. •. Clinicians must ascertain the type of diabetes in all patients, including children. •. Guidelines strongly recommend preoperative HbA1c measurements. •.

  5. 19 Δεκ 2022 · As part of the preoperative workup for a patient with T1DM using a CSII pump, it is recommended that a basal test is performed a few days or weeks before surgery. 33 This means observing the rate of insulin infusion which is necessary to maintain blood glucose 5–10 mmol L −1 on the CSII, while the patient is fasting. This allows the patient ...

  6. 1 Ιαν 2002 · With preoperative fasting, surgical stress, and ongoing insulin therapy, the caloric requirement in most diabetic patients averages 510 g/h glucose. This can be given as 5 or 10% dextrose. An infusion rate of 100 ml/h with 5% dextrose delivers 5 g/h glucose.

  7. 15 Απρ 2024 · This review will discuss the preoperative evaluation of patients with diabetes, general glycemic goals, and management of blood glucose in the perioperative period. The special circumstances of glucocorticoid therapy and hyperalimentation are also reviewed.

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