[Metabolic control of non insulin dependent diabetes mellitus in surgery].
We followed 50 type II diabetic patients undergoing various types of surgical procedures. Control of blood sugar was evaluated as percent of tests within an acceptable limit defined as 160 mg/dl in the preoperative period, 80-240 mg/dl in the early postoperative period and 80-120 mg/dl thereafter. Adequate control was present in 56% of tests in the first period, 95% in the second and 70% in the third. Only 2 subjects experienced hypoglycemia with no sequelae. No cases of ketoacidosis or hyperosmolar coma were observed. Overall mortality was 2% and complications included electrolyte alterations in 8%, acid base disturbance in 4% and infection in 16%. Thus, adequate metabolic control and low morbidity and mortality are possible in patients with type II diabetes undergoing surgery.
Morales
H
H
Maiz
A
A
Arteaga
A
A
D000328:Adult; D000368:Aged; D003924:Diabetes Mellitus, Type 2 / Q000178:diet therapy* / Q000601:surgery; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care; D011379:Prognosis; D011446:Prospective Studies
Control metabólico del diabético no insulino-dependiente en cirugía.