Diabetes Mellitus in a pre- operative patient: associated risks and complications of general...
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Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1
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![Page 1: Diabetes Mellitus in a pre- operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1.](https://reader035.fdocuments.us/reader035/viewer/2022062720/56649f145503460f94c28165/html5/thumbnails/1.jpg)
Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesiaJulie L Williams M.D., M.S.
CA-1
![Page 2: Diabetes Mellitus in a pre- operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1.](https://reader035.fdocuments.us/reader035/viewer/2022062720/56649f145503460f94c28165/html5/thumbnails/2.jpg)
Assessing severity of DM
Gold standard: HemoglobinA1c
Goals of <5.5-6%
Often a recent HbA1c is not available...
Evaluate patient in pre-operative clinic setting with basic metabolic panel, accucheck, repeat blood glucose test on morning of surgery.
Body Habitus
Type 1 vs. Type 2
Pharmacologic management
![Page 3: Diabetes Mellitus in a pre- operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1.](https://reader035.fdocuments.us/reader035/viewer/2022062720/56649f145503460f94c28165/html5/thumbnails/3.jpg)
Specific pre-operative concerns
D.M., no matter how well or poorly controlled is a risk factor for CAD and major cardiac event in perioperative setting.
Pre operative testing
EKG
CMP
fasting and post prandial blood glucose
Urinalysis
CBC
![Page 4: Diabetes Mellitus in a pre- operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1.](https://reader035.fdocuments.us/reader035/viewer/2022062720/56649f145503460f94c28165/html5/thumbnails/4.jpg)
![Page 5: Diabetes Mellitus in a pre- operative patient: associated risks and complications of general anesthesia Julie L Williams M.D., M.S. CA-1.](https://reader035.fdocuments.us/reader035/viewer/2022062720/56649f145503460f94c28165/html5/thumbnails/5.jpg)
ASA/ACA guidlines