Effect of Diabetes in Surgery.

Jeon,  Hyung Jeong; Koong,  Sung Soo

doi:2011.12.3.138

J Korean Diabetes > Volume 12(3); 2011 > Article

Focused Issue

The Journal of Korean Diabetes 2011;12(3):138-141.
DOI: https://doi.org/10.4093/kcd.2011.12.3.138 Published online September 1, 2011.

당뇨병이 수술에 미치는 영향

전현정, 궁성수

Effect of Diabetes in Surgery.

Hyung Jeong Jeon, Sung Soo Koong

Department of Internal Medicine, Chungbuk National University College of Medicine, Cheongju, Korea. gimago5@gmail.com

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.

Key Words: Diabetes mellitus, Surgery