title: Management of Hyperglycemia and Diabetes in Orthopedic Surgery.
abstract: An increasing number of orthopedic operations are being carried out in an older population in whom the prevalence of diabetes is dramatically increasing. People having surgery with diabetes and hyperglycemia are at increased risk of post-operative complications. The peri-operative risks have been well demonstrated for cardiac surgery and, more recently, for orthopedic surgery. This paper considers the issues surrounding orthopaedic surgery in patients with diabetes and the significance and management of hyperglycemia in the peri-operative period.
authors.affiliation: The Diabetes and Endocrine Center, The Diabetes Foot Clinic and Diabetes Research Unit, Ipswich Hospital and University of Birmingham, Suffolk, IP4 5PD, UK.|Ipswich Hospital and University of Birmingham, Birmingham, B15 2TT, UK.
authors.forename: Funke
authors.initials: F
authors.lastname: Akiboye
authors.affiliation: The Diabetes and Endocrine Center, The Diabetes Foot Clinic and Diabetes Research Unit, Ipswich Hospital and University of Birmingham, Suffolk, IP4 5PD, UK. Gerry.Rayman@ipswichhospital.nhs.uk.
authors.forename: Gerry
authors.initials: G
authors.lastname: Rayman
mesh_terms: D001786:Blood Glucose / Q000032:analysis; D015897:Comorbidity; D003920:Diabetes Mellitus / Q000097:blood / Q000628:therapy*; D006801:Humans; D006943:Hyperglycemia / Q000097:blood / Q000628:therapy*; D019637:Orthopedic Procedures / Q000009:adverse effects; D019990:Perioperative Care; D013530:Surgical Wound Infection / Q000453:epidemiology
chemical_list: D001786:Blood Glucose
keywords: Arthroplasty; Diabetes mellitus; Hyperglycemia; Orthopedic surgery; Peri-operative glucose