Diabetes is one of the most common non-communicable diseases and is ranked as one of the top five global causes of premature death. Diabetes is associated with increased in-hospital morbidity and consequently increased duration of hospital stay, regardless of medical/surgical speciality.
The primary aim of perioperative management of the surgical diabetic patient is to decrease morbidity and hopefully reduce the duration of hospital stay. Two 2011 based authoritative publications , more expert opinion based rather than evidence based, one by the National Health Services Diabetes in the UK[1] and the other by the Society for Ambulatory Anesthesia (SAMBA) in the USA,[2] have attempted to provide guidelines that are intended to improve perioperative care, Subsequent emerging evidence necessitates a close look at various following challenging factors : a) Should We Order Preoperative…
