Preoperative Diabetes Mellitus in individuals Undergoing Surgery

Dr. Adila Riaz, Dr. Umme Kalsoom, Dr. Erum Aslam

Abstract


Objective: Level of glycaemic management is critical in a surgical patient. The current research will manage in the surgical patients the diabetes mellitus.

Study Design: Cross Sectional Study place and duration: The current research was carried out from January 2018 to March 2018 at Outpatient Department of Medicine at Lahore General Hospital, Lahore, Pakistan.

Materials and Methods: There were 200 participants of the study. There were 100 men and 100 women. From all participants the informed consent was obtained, a Proforma questionnaire with previous history, investigation and clinical examination was completed for carrying out the research. The study included all patients who are newly diagnosed with diabetes and those Diabetes Mellitus patient having surgical disease. The study excluded diabetic patients not with surgical disease and patients without diabetes but have surgical disease.

Results: The research was carried out on 200 participants. The age was ranging between 20-60 years of age and the mean age was 34.63 ± 6.3. All the participants were newly diagnosed patients with diabetes or diabetic patients. HbA1C ranged was from 5.60-10 with mean 8.1 ± 0.45. The range for Random Blood Sugar was 139-510 mg/dl with mean 281.1 ± 77. Fasting Blood Sugar was ranging from 121-231 mg/dl with mean 129.12 ± 24. All the participants were on insulin therapy after the examination and discontinuation of oral hypoglycaemic drug in order to avoid surgery complication.

Conclusion: Pre and Post surgery the main problem is the uncontrolled Diabetes Mellitus, the complications can be lessened with the close communication between surgeon, physician and anaesthetic staff. The controlling of glycaemic before operation and blood glucose after operation are important for lessening the complication. In order to perform a better surgery, electrolyte status and acid base balance must be monitored.

Key Words: anaesthesia, Diabetes Mellitus Surgery, Glycosylated haemoglobin, Insulin, Oral hypoglycaemic agents, Preoperative care.


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