Perioperative care of diabetic patient.
Diabetes mellitus is a common endocrinopathy. Diabetic patients undergoing surgery have to be carefully evaluated in order to lower the risk of perioperative complications. The author reviews the possible pathological involvement of target organs, focusing on cardiovascular pathology, neuropathy, nephropathy, respiratory impairment and joint abnormalities. While a close control of blood glucose is normally mandatory to avoid progressive organ failure, during the perioperative period, well standardized insulin protocols appear to be sufficient to manage the diabetic patient.
Scherpereel
P
P
Department of Anaesthesia and Intensive Care, Lille University Hospital, 69037 Lille, France. pscherpereel@chru-lille.fr
D000776:Anesthesiology; D001786:Blood Glucose / Q000032:analysis; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000188:drug therapy*; D003925:Diabetic Angiopathies / Q000175:diagnosis; D003929:Diabetic Neuropathies / Q000175:diagnosis; D006801:Humans; D011182:Postoperative Care; D011183:Postoperative Complications / Q000517:prevention & control*; D011300:Preoperative Care
D001786:Blood Glucose