J Korean Diabetes.  2011 Sep;12(3):138-141. 10.4093/jkd.2011.12.3.138.

Effect of Diabetes in Surgery

• Jeon HJ
• Koong SS

• KMID: 2059837
• DOI: http://doi.org/10.4093/jkd.2011.12.3.138

Abstract

Diabetes is a common medical condition in hospitalized patients and is associated with increased requirement for operation and increased postoperative morbidity and mortality. The stress of surgery induces catabolic changes that alter glucose and lipid levels, as well as protein metabolism. Persistent hyperglycemia can lead to ketoacidosis in type I diabetic patients or hyperosmolar syndrome in type 2 diabetic patients. Also, hyperglycemia is a risk factor for endothelial dysfunction, impaired immunity, wound healing and embolism. The ultimate goal in the management of diabetic patients is to optimize glucose control through monitoring, fluid replacement and use of insulin.

Keyword

Diabetes mellitus; Surgery

MeSH Terms

Diabetes Mellitus
Embolism
Glucose
Humans
Hyperglycemia
Insulin
Ketosis
Risk Factors
Wound Healing
Glucose
Insulin

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