Perioperative management of diabetic patient

• Autor(a) principal: Monteiro, Sílvia
• Data de Publicação: 2008
• Outros Autores: Rodrigues, Fernando, de Moura, Pereira, Alves de Moura, J. J., Campos, Beatriz
• Tipo de documento: Artigo
• Idioma: por
• Título da fonte: Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)
• Texto Completo: https://revista.spmi.pt/index.php/rpmi/article/view/1451
• topic: diabetes; hiperglicemia; abordagem perioperatória; insulinoterapia intensiva; diabetes; hyperglycemia; perioperative management; intensive insulin therapy

The hyperglycemia is a common finding in hospitalized patients, with or without previous diagnosis of diabetes. It has been recently considered as an independent marker of bad prognosis and of raised mortality. The aggressive control of the glycaemia levels has been recognized in several reference studies as an important therapy target for the treatment of serious acute illness. It can also be related to the improvement of the clinical results and a significant reduction of mortality. Diabetic patients are prone to a more frequent and longer hospitalization and to a larger number of surgical interventions. It is justifiably associated with an increased morbidity and mortality rate. Consequently, it requires a specific therapy strategy, which would improve its prognosis.This paper aims at presenting the diabetic patient’s preparation for the operation, as well as the main insulin treatments in the perioperative period. It discloses the intensive insulin therapy’s prescription according to the protocols previously established,adapted to the patients and institutions reality