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Management of diabetes mellitus in surgical patients

Lookup NU author(s): Emeritus Professor Sir George Sir George Alberti

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Abstract

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.

Publication metadata

Author(s): Dagogo-Jack S, Alberti KGMM

Publication type: Article

Publication status: Published

Journal: Diabetes Spectrum

Year: 2002

Volume: 15

Issue: 1

Pages: 44-48

ISSN (print): 1040-9165

ISSN (electronic): 1944-7353

Publisher: American Diabetes Association

URL: http://dx.doi.org/10.2337/diaspect.15.1.44

DOI: 10.2337/diaspect.15.1.44

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