Effect of Diabetes in Surgery

Hyung Jeong Jeon; Sung Soo Koong

doi:10.4093/jkd.2011.12.3.138

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Jeon and Koong: Effect of Diabetes in Surgery

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J Korean Diabetes 2011;12(3):138-141.

Published online: 22 January 2011

DOI: https://doi.org/10.4093/jkd.2011.12.3.138

Effect of Diabetes in Surgery

Hyung Jeong Jeon, Sung Soo Koong

Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea

This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Diabetes is a common medical condition in hospitalized patients and is associated with increased requirement for operation and increased postoperative morbidity and mortality. The stress of surgery induces catabolic changes that alter glucose and lipid levels, as well as protein metabolism. Persistent hyperglycemia can lead to ketoacidosis in type I diabetic patients or hyperosmolar syndrome in type 2 diabetic patients. Also, hyperglycemia is a risk factor for endothelial dysfunction, impaired immunity, wound healing and embolism. The ultimate goal in the management of diabetic patients is to optimize glucose control through monitoring, fluid replacement and use of insulin.

Keywords: Diabetes mellitus, Surgery

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