title: Perioperative problems in the diabetic.
abstract: Diabetes mellitus and surgery interact in two separate but important ways. Surgery has hormonal and metabolic consequences which tend to worsen the diabetic state. Diabetes has effects on blood vessels, and resistance to infection and wound healing, that tend to complicate surgery. In this review, the pathophysiological bases for these two interactions will be discussed, and practical methods of minimizing their consequences will be suggested.
mesh_terms: D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy / Q000628:therapy; D006801:Humans; D007328:Insulin / Q000627:therapeutic use; D010289:Parenteral Nutrition, Total; D011182:Postoperative Care; D011183:Postoperative Complications / Q000628:therapy; D011300:Preoperative Care; D013514:Surgical Procedures, Operative
chemical_list: D007328:Insulin