Preoperative Care of diabetes Mellitus Patients

Abstract

People with diabetes present unique challenges for surgery because of their delicate metabolic balance between insulin and its counter regulatory hormones. The complications related to diabetes present further challenges, especially with regard to cardiac risk assessment. The medical history, physical examination, application of the cardiac risk indexes, and the appropriate ancillary tests would be help for risk-stratify patients. Diabetes must be controlled tightly preoperatively. This will improve coagulation time of blood and wound healing, also will decrease the chance of postoperative infections. Careful preoperative assessment and planning by clinicians can help diabetic patients to ensure the difficult surgical period