Factors influencing post-operative hyperglycaemia in type 2 diabetes mellitus patients managed without intra-operative insulin.
Surgery induces a 'stress' state leading to post-operative hyperglycaemia. To investigate this effect on patients with Type 2 Diabetes Mellitus, we reviewed the records of 50 diabetic patients who underwent surgery without intraoperative insulin. Demographic features together with pre-operative and post-operative blood glucose readings were noted. 27.3% of patients with well controlled pre-operative blood glucose levels developed post-operative hyperglycaemia. In contrast, 84.6% of patients with poorly controlled levels developed the same. Poor control of blood glucose and duration of operation were the only significant predictors of post-operative hyperglycaemia.
Tan
B L
BL
Anaesthesiology Unit, Faculty of Medicine and Health Sciences, Universiti Putra Malaysia.
Lim
T A
TA
D003924:Diabetes Mellitus, Type 2; D005260:Female; D006801:Humans; D006943:Hyperglycemia / Q000209:etiology*; D007328:Insulin; D008297:Male; D008875:Middle Aged; D019990:Perioperative Care / Q000592:standards*; D011183:Postoperative Complications / Q000209:etiology*; D017410:Practice Guidelines as Topic; D012189:Retrospective Studies; D018570:Risk Assessment; D012307:Risk Factors
D007328:Insulin