Interní Med. 2005; 7(12): 543-546

Preoperative evaluation and perioperative management of diabetic patients

MUDr. Hana Krejčí Ph.D
III. interní klinika VFN a 1. LF UK, Praha

Patients with diabetes mellitus have a higher rate of surgical procedures compared with the non-diabetic population. There is growing evidence that poor perioperative glucose control is associated with higher morbidity and mortality. The submitted text contains recommendations for preoperative evaluation of diabetic patients, preparation for the surgery and further management of diabetes during and after surgery.

Keywords: Key words: diabetes mellitus, preoperative evaluation, perioperative management.

Published: January 1, 2006  Show citation

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Krejčí H. Preoperative evaluation and perioperative management of diabetic patients. Interní Med. 2005;7(12):543-546.
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    References

    1. Bartoš V, Pelikánová T. Praktická diabetologie. Maxdorf 2003: 380-384 s.
    2. Esposito K, Nappo F, Marfella R, et al. Inflammatory cytokine concentrations are acutely increased by hyperglycemia in humans: role of oxidative stress. Circulation 2002; 16/106: 2067-2072. Go to original source... Go to PubMed...
    3. Juul AB, Wetterslev J, Kofoed-Enevoldsen A. Long-term postoperative mortality in diabetic patients undergoing major non-cardiac surgery. Eur J Anaesthesiol 2004; 7/21: 523-529. Go to original source...
    4. Malmber K. Prospective randomized study of intensive insulin treatment on long-term survival after acute myocardial infarction in patients with diabetes mellitus. DIGAMI (Diabetes Mellitus, Insulin Glucose Infusion in Acute Myocardial Infarction) Study Group. BMJ 1997; 24/314: 1512-1515. Go to original source... Go to PubMed...
    5. Marks JB. Perioperative management of diabetes. Am Fam Physician 2003; 1/67: 93-100.
    6. McManus LM, Bloodworth RC, Prihoda TJ, Blodgett JL, Pinckard IV. Agonist-dependent failure of neutrophil function in diabetes correlates with extend of hyperglycemia. J Leukocyte Biol 2001; 70: 396-404. Go to original source...
    7. Mizok BA, Sugawara J, Tazuke SI, et al. Alterations in fuel metabolism in critical illness: hyperglycemia. Best Pract Res Clin Endocrinol Metabol 2001; 15: 535-551. Go to original source... Go to PubMed...
    8. Peters A, Kerner W. Perioperative management of the diabetic patient. Exp Clin Endocrinol Diabetes 1995; 4/103: 213-218. Go to original source... Go to PubMed...
    9. Prakash L. Perioperative management of diabetes mellitus. Crit Care Nurs Quarterly 2004; 2/27: 135-147. Go to original source... Go to PubMed...
    10. Schiff RL, Emanuele MA. The surgical patient with diabetes mellitus: guidelines for management. J Gen Intern Med 1995; 10: 154-161. Go to original source... Go to PubMed...
    11. Umpierrez GE, Isaacs SD, Bazargan N, You X, Thaler LM, Kitabchi AE. Hyperglycemia: an independent marker of in-hospital mortality in patients with undiagnosed diabetes. J Clin Endocrinol Metab 2002; 3/87: 978-982. Go to original source... Go to PubMed...
    12. Van den Berghe G, Wouters PJ, Weekers F, et al. Intensive insulin therapy in the critically ill patients. N Engl J Med 2001; 345: 1359-1367. Go to original source... Go to PubMed...
    13. Van den Berghe G, Wouters PJ, Bouillon R, et al. Outcome benefit of intensive insulin therapy in the critically ill: insulin dose versus glycemic control. Crit Care Med 2003; 31: 359-366. Go to original source... Go to PubMed...

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