Requirement for surgery is not uncommon in a diabetic individual. Diabetes per se predisposes the individual to conditions that require surgery. Safe anaesthesia and surgery involves adequate glycemic control in these individuals. The significant stress during the surgical procedure and anaesthesia leads to a labile blood sugar level. Tight control of hyper or hypoglycemia becomes a daunting task. Uncontrolled hyperglycemia in surgical patients is associated with: Dehydration and electrolyte disturbances. Hyperglycemic, hyperosmolar coma in type II diabetics.
Ketoacidosis in insulin-dependent individuals. Impaired wound healing. Increased risk of surgical site infections. Preoperative Evaluation Routine evaluation of cardiac, renal, hepatic and pulmonary function is a part of all preoperative evaluation. The type and duration of diabetes must be ascertained. Patients on insulin must be…
