Pre and perioperative fasting, liquid diet ( water and coconut water when required ) + periodic blood sugar and electrolytes check- help a lot in achieving good glycemic control in type 2 diabetics, reduced infection rates, in any surgeries, perioperatively. 1) Stop all anti-diabetic drugs, including Insulin: Put them on fasting. See the results. Even in most resistant high blood sugars, come into control rapidly. 2) Especially In obese diabetics, this works wonderfully. 3) In abdominal surgeries, this creates very favorable conditions for the surgeon, more so in Laparoscopic surgeries.
4). Respiratory reserves, cardiac functioning: Improve a lot. Due to reduced body fluid volume in all compartments and good diaphragmatic movements. These are best observed in obese posted for Laparoscopic surgeries. 5) Compulsory preoperative spirometry, abdominal muscle exercises, etc. also improve…
