Perioperative management of the diabetic patient.
BACKGROUND
The prevalence of diabetes mellitus is increasing worldwide and many more diabetics are requiring surgical intervention for various reasons. There is no general agreement on a satisfactory routine for managing diabetics during surgery while many aspects of its care also remain controversial.


METHODS
The broad medical literature on the perioperative management of the diabetic surgical patient was reviewed. Meta analysis, review articles, original articles and expert recommendations were identified on a search of the pubmed.


RESULTS
This review addresses the important aspects of pre-, intra-and post-operative management of the diabetic surgical patient and highlights recent advances on the subject.


CONCLUSIONS
Different types of regimens are now available for managing the diabetic surgical patient. Optimal methods such as intravenous insulin infusions, though more laborious appear to be most popular. Clinical judgement remains a vital component of good perioperative management of patients with diabetes mellitus.
Kolawole
B A
BA
Department of Medicine, College of Health Sciences, Obafemi Awolowo University, Ie-Ife, Nigeria.
D001639:Bicarbonates / Q000008:administration & dosage; D002122:Calcium Chloride / Q000008:administration & dosage; D002985:Clinical Protocols; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000453:epidemiology*; D005947:Glucose / Q000008:administration & dosage; D006801:Humans; D007004:Hypoglycemic Agents / Q000008:administration & dosage*; D007328:Insulin / Q000008:administration & dosage*; D008274:Magnesium / Q000008:administration & dosage; D019990:Perioperative Care; D011188:Potassium / Q000008:administration & dosage; D011189:Potassium Chloride / Q000008:administration & dosage; D015995:Prevalence; D012965:Sodium Chloride / Q000008:administration & dosage
D001639:Bicarbonates; D007004:Hypoglycemic Agents; D007328:Insulin; C041711:St. Thomas' Hospital cardioplegic solution; C030396:glucose-insulin-potassium cardioplegic solution; D012965:Sodium Chloride; D011189:Potassium Chloride; D008274:Magnesium; D005947:Glucose; D002122:Calcium Chloride; D011188:Potassium