Vnitr Lek 2015, 61(6):563-566

Perioperative care and diabetes

Alena ©mahelová
Centrum a subkatedra diabetologie FN a LF UK Hradec Králové

The perioperative care of diabetic patients is specific due to the necessity of adequate glycaemic correction, as well as owing to the occurrence of complications not taking place in nondiabetic patients. The present antidiabetic treatment therefore mostly needs to be adjusted to the perioperative period, but this is largely not necessary in the case of small and short surgeries. The perioperative care of diabetic patients must be carefully organized and scheduled. The main rules include adequate monitoring of blood glucose and insulin therapy, provision of nutrition and surgery performance in the morning.

Keywords: antidiabetic treatment; perioperative care of the diabetic patient

Received: May 3, 2015; Accepted: May 12, 2015; Published: June 1, 2015  Show citation

ACS AIP APA ASA Harvard Chicago Chicago Notes IEEE ISO690 MLA NLM Turabian Vancouver
©mahelová A. Perioperative care and diabetes. Vnitr Lek. 2015;61(6):563-566.
Share...
Download citation
  • BibTeX (.bib)
  • Bookends (.ris)
  • EasyBib (.ris)
  • EndNote (.enw)
  • EndNote 8 (.xml)
  • ISI WoS (.isi)
  • Medlars (.medlars)
  • Mendeley (.ris)
  • MODS (.xml)
  • Papers (.ris)
  • RefWorks (.txt)
  • RefManager (.ris)
  • RIS (.ris)
  • MS Word (.xml)
  • Zotero (.ris)
    • Open full article

    References

    1. Frisch A, Chandra P, Smiley D et al. Prevalence and clinical outcome of hyperglycemia in the perioperative period in noncardiac surgery. Diabetes care 2010; 33(8): 1783-1788. Go to original source... Go to PubMed...
    2. Informace dostupné z WWW: <http://www.emedicine.medscape.com>.
    3. Sebranek JJ, Lugli AK, Coursin DEB. Glycaemic control in the perioperative period. Br J Anaesth 2013; 111(Suppl 1): i18-i34. Dostupné z DOI: <http://dx.doi.org/10.1093/bja/aet381>. Go to original source... Go to PubMed...
    4. Chien-Wei Hsu. Glycemic control in critically ill patients. World J Crit Care Med 2012; 1(1): 31-39. Go to original source... Go to PubMed...
    5. Finfer S, Liu B, Chittock DR et al. NICE-SUGAR Study Investigators. Hypoglycemia and risk of death in critically ill patients. N Engl J Med 2012; 367(12): 1108-1118. Go to original source... Go to PubMed...
    6. Van den Berghe G, Wilmer A, Hermans G. Intensive Insulin Therapy in the Medical ICU. N Engl J Med 2006; 354(5): 449-461. Go to original source... Go to PubMed...
    7. The NICE-SUGAR Study Investigators. Hypoglycemia and risk of death in critically ill patients. N Engl J Med 2012; 367(12): 1108-1118. Go to original source... Go to PubMed...
    8. Griesdale DE, de Souza RJ, van Dam RM et al. Intensive insulin therapy and mortality among critically ill patients: a meta-analysis including NICE-SUGAR study data. CMAJ 2009; 180(8): 821-827. Go to original source... Go to PubMed...
    9. Dhatariya K, Levy N, Kilvert A et al. Diabetes UK Position Statements and Care Recommendations. NHS Diabetes guideline for the perioperative management of the adult patient with diabetes. Diabet Med 2012; 29(4): 420-433. Go to original source... Go to PubMed...
    10. American Diabetes Association. Standards of medical care in diabetes - 2010. Diabetes Care 2010; 33(Suppl 1): S11-S61. Erratum in Diabetes Care 2010; 33(3): 692. Go to original source... Go to PubMed...
    11. Umpierrez GE, Smiley D, Jacobs S et al. Randomized Study of Basal-Bolus Insulin Therapy in the Inpatient Management of Patients With Type 2 Diabetes Undergoing General Surgery (RABBIT 2 Surgery). Diabetes Care 2011; 34(2): 256-261. Go to original source... Go to PubMed...
    12. Gustafsson UO, Thorell A, Soop M et al. Haemoglobin A1c as a predictor of postoperative hyperglycaemia and complications after major colorectal surgery. Br J Surg 2009; 96(11): 1358-1364. Go to original source... Go to PubMed...
    13. Dronge AS, Perkal MF, Kancir S et al. Long-term Glycemic Control and Postoperative Infectious Complications. Arch Surg 2006; 141(4): 375-380. Go to original source... Go to PubMed...
    14. Han HS, Kang SB. Relations between long-term glycemic control and postoperative wound and infectious complications after total knee arthroplasty in type 2 diabetics. Clin Orthop Surg 2013; 5(2): 118-123. Go to original source... Go to PubMed...
    15. Sato H, Carvalho G, Sato T et al. The association of preoperative glycemic control, intraoperative insulin sensitivity, and outcomes after cardiac surgery. J Clin Endocrinol Metab 2010; 95(9): 4338-4344. Go to original source... Go to PubMed...
    16. Hudson CC, Welsby IJ, Phillips-Bute B et al. Cardiothoracic Anesthesiology Research Endeavors (C.A.R.E.) Group. Glycosylated hemoglobin levels and outcome in non-diabetic cardiac surgery patients. Can J Anaesth 2010; 57(6): 565-572. Go to original source... Go to PubMed...

    Return to the content


    Vnitřní lékařství

    Madam, Sir,
    please be aware that the website on which you intend to enter, not the general public because it contains technical information about medicines, including advertisements relating to medicinal products. This information and communication professionals are solely under §2 of the Act n.40/1995 Coll. Is active persons authorized to prescribe or supply (hereinafter expert).
    Take note that if you are not an expert, you run the risk of danger to their health or the health of other persons, if you the obtained information improperly understood or interpreted, and especially advertising which may be part of this site, or whether you used it for self-diagnosis or medical treatment, whether in relation to each other in person or in relation to others.

    I declare:

    1. that I have met the above instruction
    2. I'm an expert within the meaning of the Act n.40/1995 Coll. the regulation of advertising, as amended, and I am aware of the risks that would be a person other than the expert input to these sites exhibited

    No
    Yes

    If your statement is not true, please be aware
    that brings the risk of danger to their health or the health of others.