Clinical Guidelines for Perioperative Management of Diabetic Pa-tients.

摘要

Abstract:Surgeryaccompaniesbyhighmortalityandmorbidityratesindiabeticpatients.Asthisdiseaseaffectsnumeroussystemsdiabeticpatientsrequiretobeapproachedsystemical-lyandcarefully.Stressofsurgerystimulatescatabolichormonessecretion.Perioperativeassessmentscanhelpustofindthehighriskdiabeticpatientsandthepatientsneedextra-management.Somediabeticpatientsneedtoimprovebloodglycemiccontrolbeforesurgery.Tightglycemiccontrolisagoalindiabeticpatientsfordevelopingabetteroutcome,whiletheoptimalrangeis110-180mg/dl.Althoughareducedprotocolmaybeacceptableforminorsurgeriesindiabeticpatientsglucose-insulin-potassiuminjectionshouldbeconsideredfortheirmajorsurgeries.Physiciansa€?involvementwithdiabeticpatientsa€?managementbeforesurgeryandsuccessfulperioperativemanagementofhy-perglycemiaisabigchallenge.Asimpleprotocolcanhelpphysicianstodevelopasafeperioperativemanagement.