Management of Diabetes Mellitus in Surgical Patients
Open Access
- 1 January 2002
- journal article
- Published by American Diabetes Association in Diabetes Spectrum
- Vol. 15 (1), 44-48
- https://doi.org/10.2337/diaspect.15.1.44
Abstract
In Brief 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. Hyperglycemia impairs leukocyte function and wound healing. The management goal is to optimize metabolic control through close monitoring, adequate fluid and caloric repletion, and judicious use of insulin.Keywords
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