Perioperative management of patients with diabetes

Paweł Radkowski; Bartosz Kędziora; Laura Eliszewska; Kaja Jackowska; Oliwia Mandziuk-Radkowska; Justyna Dawidowska-Fidrych

doi:10.5114/ms.2023.131683

eISSN: 2300-6722
ISSN: 1899-1874

Medical Studies/Studia Medyczne

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3/2023
vol. 39

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abstract:

Review paper

Perioperative management of patients with diabetes

Paweł Radkowski

^{1, 2, 3}

,

Bartosz Kędziora

^{4, 5}

,

Laura Eliszewska

²

,

Kaja Jackowska

²

,

Oliwia Mandziuk-Radkowska

⁶

,

Justyna Dawidowska-Fidrych

⁷

Department of Anaesthesiology and Intensive Care, Regional Specialist Hospital, Olsztyn, Poland
Department of Anaesthesiology and Intensive Care, Faculty of Medicine, Collegium Medicum University of Warmia and Mazury, Olsztyn, Poland
Hospital zum Heiligen Geist, Fritzlar, Germany
Collegium Medicum, Jan Kochanowski University, Kielce, Poland
Department of Internal Medicine, Hospital of the Ministry of Interior, Kielce, Poland
Independent Non-Public Health Care Institution Zdrowie, Olsztyn, Poland
Pro-Medica Hospital, Ełk, Poland

Medical Studies/Studia Medyczne 2023; 39 (3): 272–280

DOI: https://doi.org/10.5114/ms.2023.131683

Online publish date: 2023/09/30

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The prevalence of diabetes mellitus has been steadily increasing rapidly in recent years. Risk factors include obesity and lack of physical activity. Not only is it the most common endocrine disease in Europe, but also it is widely prevalent worldwide. Hyperglycaemia and diabetes were responsible for about 6.7 million deaths worldwide and 1.1 million deaths in Europe in 2021. Diabetes has a significant impact on the economy as well. This is a common disorder in surgical patients and proper anaesthesiology management of this disease is the single most important issue, though still poorly understood. Patients with diabetes mellitus have a higher risk of difficult intubation and aspiration. Diabetics undergoing surgery are particularly at risk of postoperative complications and increased mortality. In this review, the authors discuss the perioperative considerations in managing patients with diabetes as well as those without diabetes, albeit hyperglycaemic.

keywords:

Perioperative management of patients with diabetes

Paweł Radkowski 1, 2, 3 , Bartosz Kędziora 4, 5 , Laura Eliszewska 2 , Kaja Jackowska 2 , Oliwia Mandziuk-Radkowska 6 , Justyna Dawidowska-Fidrych 7

anaesthesia, diabetes mellitus, complications, outcome

Paweł Radkowski

^{1, 2, 3}

,

Bartosz Kędziora

^{4, 5}

,

Laura Eliszewska

²

,

Kaja Jackowska

²

,

Oliwia Mandziuk-Radkowska

⁶

,

Justyna Dawidowska-Fidrych

⁷