Clinical Guidelines for Perioperative Management of Diabetic Pa-tients.


N Nozari 1 , * , N Nozari 2

1 Internist, Department of Internal Medicine, Aliebne Abi Taleb Hospital, Kerman universi-ty of medical sciences, Ravar, Iran

2 Assistant Professor, Economist and Writing supervisor, Karaj Islamic Azad University, Karaj, Iran

How to Cite: Nozari N, Nozari N. Clinical Guidelines for Perioperative Management of Diabetic Pa-tients., Shiraz E-Med J. 2011 ; 12(1):39-43.


Shiraz E-Medical Journal: 12 (1); 39-43
Published Online: January 1, 2011
Article Type: Review Article
Received: June 26, 2010
Accepted: October 27, 2010


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.

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