GLYCEMIC CONTROL IN NON-INSULIN DEPENDENT DIABETIC PATIENTS UNDERGOING MAJOR SURGERIES

Abstract

Diabetes mellitus is a common disease and one that predispose to

many compI1. cat.wns that may reqm.re suI rgery.

Most anesthet1. sts WI

I.,,

therefore be caring for diabetic patients pe iodically. Adapting a diabbtic pat•ients therapeut1.c regi.men to accommouate a surg1.ca I proce dure ils a I I challenging problem. Unfortunately, there is no consensus on the optilnai

. I : manner in which to manage the metabolic changes that occur during surgery in patients with diabetes But th re is general agreement hat control of blood glucose avoiding either byper or hypoglycemia, iJ of prime importance in the perioperative Jeriod in those patients. the metabolic management of NIDDM patie ts undergoing major surJery

W.it h

m. su,m.

I.S not S.impIe.

Insu,m.

mayI

m. duce

hypogIycem1.a fi lild

metabolic abnormalities complicating thJ management of anesthdsia, I Opinions differ however on the method of blood glucose controof NIDDM patients undergoing major surgery I

I

So, we conducted our randomized, prospective study to evaluate tJree I ' methods of glycemic control in well controlled NIDDM patients I undergoing major surgery when given i.v. glucose and insulin eitheby

variable sep;; te infusion or by i.v. bolus injection and those givenl no insulin no glucose. . --- . I• r • • \c'' •.e._

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This study was conducted on 60 NIDDM patients undergqing elective major surgery. Patients were alloclated randomly to one of tBree equal groupF.' - ( I ..

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