[Development of blood sugar and insulinemia in the first 12 postoperative hours. Effects of glucose and insulin intake].
Serum levels of glucose and insulin are studied during 12 hours in the early post-operative period after intra-abdominal surgery. Five groups of non diabetic patients are perfused with incremental doses of glucose, G. I: no glucose, G. II: 8,33 g . h-1 of glucose during 6 hours, G. III: 16,66 g . h-1 of glucose during 6 hours, G. IV: 16,66 g . h-1 of glucose with 20 mu insulin; G. V: 16,66 g . h-1 of glucose with 40 mu insulin. In all groups a significant rise in serum levels of glucose is observed (10,5-15,6 mmol . l-1). At the same time serum level of insulin remains unchanged except when insulin is infused. However exogenous insulin is unable to prevent the serum level of glucose to rise post-operatively.
D000328:Adult; D000368:Aged; D001786:Blood Glucose / Q000032:analysis*; D005767:Gastrointestinal Diseases / Q000601:surgery; D005947:Glucose / Q000008:administration & dosage*; D006801:Humans; D007263:Infusions, Parenteral; D007328:Insulin / Q000008:administration & dosage / Q000097:blood*; D008875:Middle Aged; D011184:Postoperative Period
D001786:Blood Glucose; D007328:Insulin; D005947:Glucose
Evolution de la glycémie et de l'insulinémie au cours des douze premières heures post-opératoires. Influence des apports de glucose et d'insuline.