Clinical Guidelines for Perioperative Management of Diabetic Pa-tients.

Abstract:

Surgery accompanies by high mortality and morbidity rates in diabetic patients. As this disease affects numerous systems diabetic patients require to be approached systemical-ly and carefully. Stress of surgery stimulates catabolic hormones secretion. Perioperative assessments can help us to find the high risk diabetic patients and the patients need extra- management. Some diabetic patients need to improve blood glycemic control before surgery. Tight glycemic control is a goal in diabetic patients for developing a better outcome, while the optimal range is 110-180 mg/dl. Although a reduced protocol may be acceptable for minor surgeries in diabetic patients glucose-insulin-potassium injection should be considered for their major surgeries. Physicians involvement with diabetic patients management before surgery and successful perioperative management of hy-perglycemia is a big challenge. A simple protocol can help physicians to develop a safe perioperative management.