@Article{Ruprecht2009,
journal="Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery",
issn="1731-5530",
volume="6",
number="3",
year="2009",
title="KARDIOCHIRURGIA DOROSŁYCHHypoglycaemic treatment and metabolic control in patients with diabetes referred for planned heart surgery",
abstract="  Introduce:    Subjects with diabetes comprise 13-37% of patients undergoing coronary artery bypass graft surgery (CABG). In clinical practice the problems of metabolic control and preoperative hypoglycaemic management are often underestimated.    Aim:    The aim was to determine the hypoglycaemic treatment and metabolic status of patients referred for heart surgery (94.4% CABG).   Material and Methods:    72 patients with diabetes (92% type 2, 8% type 1), mean age 63 \&plusmn; 8 years, diabetes duration 10 \&plusmn; 8.6 years, were examined by a diabetologist in the Outpatient Clinic, in order to evaluate their metabolic status before planned heart surgery.    Results:    Mean systolic and diastolic blood pressure was 135 \&plusmn; 17.5 and 76 \&plusmn; 10.5 mm Hg, respectively, HbA1c 6.7 \&plusmn; 1.9%, total cholesterol 180 \&plusmn; 53.5 mg/dl, LDL 98.1 \&plusmn; 37.0 mg/dl, HDL 52 \&plusmn; 13.2 mg/dl, triglycerides 173 \&plusmn; 142.6 mg/dl. Recommended systolic (< 130 mm Hg) and diastolic (< 80 mm Hg) blood pressure value was achieved in 47.2% and 79.2% of patients, respectively. HbA1c \&#8804; 7.0% was achieved in 66.7% of patients, total cholesterol < 175 mg/dl in 56.9%, LDL < 100 mg/dl (and in patients with ischaemic heart disease   40 in men and > 50 in women) in 70.4%, triglycerides < 150 mg/dl in 56.2% of patients. All of the therapeutic goals were achieved in 5.9% of patients. The hypoglycaemic treatment was modified in 72% of patients.    Conclusions:    Mean HbA1c, blood pressure and lipid parameters did not considerably exceed recommended values. A substantial proportion of patients however, did not achieve the therapeutic goals, were not properly prepared before surgery and required intensification of treatment.",
author="Ruprecht, Zo&#64257;a
and Kamińska, Anna
and Lau, Grzegorz
and Anisimowicz, Lech
and Junik, Roman",
pages="224--228",
url="https://www.termedia.pl/KARDIOCHIRURGIA-DOROSLYCH-Hypoglycaemic-treatment-and-metabolic-control-in-patients-with-diabetes-referred-for-planned-heart-surgery,40,13153,1,1.html"
}