Effect of Diabetes in Surgery.
10.4093/jkd.2011.12.3.138
- Author:
Hyung Jeong JEON
1
;
Sung Soo KOONG
Author Information
1. Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. gimago5@gmail.com
- Publication Type:Original Article
- Keywords:
Diabetes mellitus;
Surgery
- MeSH:
Diabetes Mellitus;
Embolism;
Glucose;
Humans;
Hyperglycemia;
Insulin;
Ketosis;
Risk Factors;
Wound Healing
- From:Journal of Korean Diabetes
2011;12(3):138-141
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Diabetes is a common medical condition in hospitalized patients and is associated with increased requirement for operation and increased postoperative morbidity and mortality. The stress of surgery induces catabolic changes that alter glucose and lipid levels, as well as protein metabolism. Persistent hyperglycemia can lead to ketoacidosis in type I diabetic patients or hyperosmolar syndrome in type 2 diabetic patients. Also, hyperglycemia is a risk factor for endothelial dysfunction, impaired immunity, wound healing and embolism. The ultimate goal in the management of diabetic patients is to optimize glucose control through monitoring, fluid replacement and use of insulin.
