[Main principles of the treatment of surgical patients with concomitant diabetes mellitus].
A total of 955 surgical patients with concomitant diabetes mellitus were treated at the Stomatological Medical Institute Surgery Faculty Hospital. Therapeutic experience made physicians arrive at a conclusion on the necessity of active detection of carbohydrate metabolic derangements in high risk patients, as well as reasons for the decompensation of diabetes mellitus in surgical patients. Decompensation was caused by the activation of the hypothalamohypophyseal-adrenal system in stress and a considerable increase in contrainsular factors in the blood with a decrease in adaptive function of the pancreas. A high proteolytic activity of the blood in decompensated diabetes mellitus resulted in insulin inactivation. Means for the correction of the above disorders were proposed.
D001786:Blood Glucose / Q000032:analysis; D003920:Diabetes Mellitus / Q000188:drug therapy*; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control*; D007328:Insulin / Q000008:administration & dosage*; D008991:Monitoring, Physiologic; D011182:Postoperative Care; D011300:Preoperative Care; D013514:Surgical Procedures, Operative
D001786:Blood Glucose; D007328:Insulin
Osnovnye printsipy lecheniia khirurgicheskikh bol'nykh s soputstvuiushchim sakharnym diabetom.