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A Journal on Anesthesiology, Resuscitation, Analgesia and Intensive Care
THE DIABETIC PATIENT IN PERIOPERATIVE PERIOD SMART 2001
Minerva Anestesiologica 2001 April;67(4):258-62
Perioperative care of diabetic patient
From the Department of Anaesthesia and Intensive Care Lille University Hospital, Lille, France
Diabetes mellitus is a common endocrinopathy. Diabetic patients undergoing surgery have to be carefully evaluated in order to lower the risk of perioperative complications. The author reviews the possible pathological involvement of target organs, focusing on cardiovascular pathology, neuropathy, nephrophaty, respiratory impairment and joint abnormalities. While a close control of blood glucose is normally mandatory to avoid progressive organ failure, during the perioperative period, well standardized insulin protocols appear to be succifient to manage the diabetic patient.