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What should be done in diabetic patients before and after surgery preparations?
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1. Patients with diabetes should be aware of their condition and maintain a calm attitude and appropriate activities to maintain stable blood sugar, This is very favorable for the operation.
2. Patients should understand the situation before doctors should understand patients with type 1 or type 2 diabetes. In addition to judging the risk factors in general surgery, there should be proper understanding of diabetes complications arising from the major organs, such as the function and the degree of damage. Therefore, before the diabetic patients should undergo a comprehensive examination, including blood sugar, glucose and ketone body, glycosylated hemoglobin, Determination of electrolytes and lipids, heart, liver and kidney function checks.
3. Before surgery to control blood sugar in patients with diabetes mellitus ideal state, at least three Indian Institute of preoperative blood sugar monitoring. Only light diet for the control of diabetes with oral hypoglycemic agents or is able to increase control of the purposes of the small operation. normal very soon after eating, before 8.3mmol/L more appropriate to control the blood sugar level, no special treatment; take oral hypoglycemic treatment of serious illness or damage to organs in the first three days of treatment should use short-acting insulin, and a good dose adjustment. General requirements in 7.2-8.9mmol/L following preoperative fasting glucose, 5-10 grams of glucose less than 24 hours, without ketoacidosis; original long-acting insulin, be in general use before insulin therapy, in order to adjust insulin dosage.
4. Preoperative patients with diabetes mellitus : a diet appropriate adjustments to appropriately increase the proportion of protein, it accounted for 20% of total calories 2 carbohydrate calories to control the ratio between the total turnover. daily intake of at least 250 grams to 300 grams of glycogen to be fully prepared to landslide; Third, added fats, But 25% of the total calorie intake should not exceed four, attention vitamin supplement, vitamin B, Vitamin C can increase the ability to heal the body that will be of great help to improve the coagulation; 5. Fresh high cellulose crystal is very important for easing the absorption of sugar.


This article was posted on 2007-02-27

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