Categories

Volume 3 Issue 4 (October - December, 2015)

Review Articles

PERIOPERATIVE MANAGEMENT OF DIABETIC PATIENT
Madhukar Rajaram Wagh, Dilip Ravalia

The prevalence of diabetes mellitus (DM) is increasing rapidly. In 2011, it was estimated that 366 million people worldwide had DM with a projected increase to 522 million by 2030. Diabetes is one of the most common non-communicable diseases and is ranked as one of the top five global causes of premature death. It is well established that diabetic patients undergoing major surgery, cardiac and non-cardiac, are at increased risk of mortality and morbidity. Furthermore, the relationship between inadequate preoperative glucose control and adverse outcomes has also been found in several surgical specialities: orthopaedics, colorectal, spinal, vascular, and cardiac.  In conclusion, maintaining good glycaemic control during the peri-operative period results in improved outcomes following surgery. In order to keep blood glucose levels within the target range, diabetes medications often need to be altered immediately before and following surgical and radiological procedures. There may be great individual variation in the impact of surgery and the adjustments to therapy required, depending on the pre-existing diabetes status of the patient, the nature of the surgery and the presence of post-operative complications.
Key words: Diabetes, Type I & II, Surgery, Perioperative care

Corresponding author: Dr. Madhukar Rajaram Wagh, Assistant Professor, Department of Surgery, Gujarat Adani Institute of Medical Science, Bhuj, Gujarat.

This article may be cited as: Wagh MR, Ravalia D. Perioperative management of diabetic patient. J Adv Med Dent Scie Res 2015;3(4):79-82.

 
Abstract View | Download PDF | Current Issue