title: Anaesthesia and the patient with diabetes.
abstract: OBJECTIVE
  To provide updated knowledge regarding the airway management and the possibility of difficult intubation in diabetic patients.
  
  
  METHODS
  We preformed a systematic literature review of the English language literature, published over the past 10 years which deals with this subject.
  
  
  RESULTS
  The vast majority of the modern literature data supports the fact that diabetic population has higher risk for difficult intubation occurrence. The most important characteristics of diabetic patients that are considered to be contributing factors for the difficult intubation are obesity, increased neck circumference and stiff joint syndrome.
  
  
  CONCLUSIONS
  A special attention and thorough preoperative preparation should be given to patients with diabetes. In order to predict and prevent difficult intubation in these patients, further studies are needed to investigate this issue closely.
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia. Electronic address: ksenia.stevanovic@gmail.com.
authors.forename: Ksenija
authors.initials: K
authors.lastname: Stevanovic
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Serbia.
authors.forename: Vera
authors.initials: V
authors.lastname: Sabljak
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: Anka
authors.initials: A
authors.lastname: Toskovic
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: Biljana
authors.initials: B
authors.lastname: Kukic
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: Jovana
authors.initials: J
authors.lastname: Stekovic
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia.
authors.forename: Vesna
authors.initials: V
authors.lastname: Antonijevic
authors.affiliation: Center for Anaesthesiology and Resuscitation, Clinical Center of Serbia, Belgrade, Serbia; School of Medicine, University of Belgrade, Serbia.
authors.forename: Nevena
authors.initials: N
authors.lastname: Kalezic
mesh_terms: D058109:Airway Management / Q000009:adverse effects / Q000379:methods; D000758:Anesthesia / Q000009:adverse effects / Q000379:methods; D015992:Body Mass Index; D000075202:Contraindications; D048909:Diabetes Complications; D003920:Diabetes Mellitus / Q000473:pathology*; D006801:Humans; D007431:Intraoperative Complications / Q000453:epidemiology; D007592:Joint Diseases / Q000150:complications; D009333:Neck / Q000033:anatomy & histology; D009765:Obesity / Q000150:complications; D012307:Risk Factors
keywords: Diabetes mellitus; Difficult intubation; Obesity; Stiff joint syndrome