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KMID : 0381219830150040240
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Journal of RIMSK
1983 Volume.15 No. 4 p.240 ~ p.245
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Management of Diabetes in the Surgical Patient
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Abstract
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Diabetes is one of the commonest metabolic disorders, from time to time every surgeon and anesthetist will be confronted with diabetic patients.
Many diabetic patients present a high surgical risk because of premature arteriosclerosis with consequent cardiovascular functional age of diabetic patient. For example, a man with chronologic age of 45 and 15 years of diabetes may have a vascular system corresponding to that of a 60 year old man.
In addition to above risk factors, anti-insulin factors from trauma, infection, stress make difficulty in management of surgical diabetic patients. In treating the diabetic surgical patients, there are many regimens, but most of them are based on habit and practice rather than logic.
In management of diabetes, the minimal goal of treatment is mild hyperglycemia with mild glucosuria without ketosis.
Now, we review about the pre, during and postoperative management of diabetes and it´s complications
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