Clinical Guidelines for Perioperative Management of Diabetic Patients

Surgery accompanies by high mortality and morbidity rates in diabetic patients. As this disease affects numerous systems diabetic patients require to be approached systemically and carefully. Stress of surgery stimulates catabolic hormones secretion. Perioperative assessments can help us to find the high risk diabetic patients and the patients need extra- management. Some diabetic patients need to improve blood glycemic control before surgery. Tight glycemic control is a goal in diabetic patients for developing a better outcome, while the optimal range is 110-180 mg/dl. Although a reduced protocol may be acceptable for minor surgeries in diabetic patients glucose-insulin-potassium injection should be considered for their major surgeries. Physicians’ involvement with diabetic patients’ management before surgery and successful perioperative management of hyperglycemia is a big challenge. A simple protocol can help physicians to develop a safe perioperative management.