title: [Perioperative metabolism control of diabetic and non-diabetic patients].
abstract: Overview on the perioperative metabolism of diabetic patients. The text provides important information for the clinician and summarises the evidence in the international literature. Important studies, background of the diabetic perioperative metabolism, patient screening, existing oral diabetes therapies and insulin regimes, differences between regional and general anesthesia, and important laboratory parameters are discussed. Oral antidiabetics used in Germany, different classes of insulins and possible regimes for the intraoperative management of insulin therapies and important aspects of the postoperative management are presented.
authors.affiliation: Klinik für Anaesthesiologie am Klinikum, der Universität München, Germany. dennis.ballwieser@med.uni-muenchen.de
authors.forename: Dennis A
authors.initials: DA
authors.lastname: Ballwieser
authors.forename: Daniel
authors.initials: D
authors.lastname: Chappell
authors.forename: Matthias
authors.initials: M
authors.lastname: Jacob
mesh_terms: D000758:Anesthesia; D001786:Blood Glucose / Q000032:analysis / Q000378:metabolism; D003422:Critical Care; D003920:Diabetes Mellitus / Q000175:diagnosis / Q000628:therapy*; D003922:Diabetes Mellitus, Type 1 / Q000097:blood / Q000628:therapy; D003924:Diabetes Mellitus, Type 2 / Q000097:blood / Q000628:therapy; D006442:Glycated Hemoglobin / Q000032:analysis; D006801:Humans; D006943:Hyperglycemia / Q000517:prevention & control; D007003:Hypoglycemia / Q000517:prevention & control; D007004:Hypoglycemic Agents / Q000627:therapeutic use; D007328:Insulin / Q000627:therapeutic use; D007333:Insulin Resistance / Q000235:genetics / Q000502:physiology*; D019990:Perioperative Care; D013514:Surgical Procedures, Operative / Q000401:mortality
chemical_list: D001786:Blood Glucose; D006442:Glycated Hemoglobin; D007004:Hypoglycemic Agents; D007328:Insulin