This article is one of an occasional series of invited reviews based on ‘update’ lectures at the Winter Scientific Meeting of the Association of Anaesthetists of Great Britain and Ireland.
Diabetes mellitus: anaesthetic management*
Article first published online: 7 NOV 2006
Volume 61, Issue 12, pages 1187–1190, December 2006
How to Cite
Robertshaw, H. J. and Hall, G. M. (2006), Diabetes mellitus: anaesthetic management. Anaesthesia, 61: 1187–1190. doi: 10.1111/j.1365-2044.2006.04834.x
- Issue published online: 7 NOV 2006
- Article first published online: 7 NOV 2006
- Accepted: 24 June 2006
Vol. 62, Issue 1, 100, Article first published online: 6 DEC 2006
As the incidence of diabetes mellitus continues to increase in the United Kingdom, more diabetic patients will present for both elective and emergency surgery. Whilst the underlying pathophysiology of type 1 and type 2 diabetes differs, there is much good evidence that controlling the blood glucose to > 10 mmol.l−1 in the peri-operative period for both types of diabetic patients improves outcome. This should be achieved with a glucose–insulin–potassium regimen in all type 1 diabetics and in type 2 diabetics undergoing moderate or major surgical procedures. After surgery, a decrease in the catabolic hormone response resulting from good analgesia and the avoidance of nausea and vomiting should allow early re-establishment of normal glycaemic control.