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Revista Uruguaya de Medicina Interna
Print version ISSN 2393-6797On-line version ISSN 2393-6797
Abstract
BRUNO, Lorena et al. Glycemic control of the surgical patient. Rev. Urug. Med. Int. [online]. 2020, vol.5, n.3, pp.14-18. Epub Dec 01, 2020. ISSN 2393-6797. https://doi.org/10.26445/05.03.2.
Introduction:
Diabetes mellitus is a highly prevalent pathology, with higher morbidity and mortality in the surgical patient, both due to hypo and hyperglycemia. Goals. Determine if glycemic metabolic control meets international recommendations. Methodology: A descriptive study of all patients admitted to surgical areas was carried out. All capillary blood glucose levels recorded in the clinical history were analyzed. Results: 34 patients were captured (predominantly male and with type 2 diabetes mellitus), 21 underwent surgical intervention, mortality was 6%. The average glycemia was higher than the internationally recommended, it constitutes episodes of hyperglycemia. Likewise, the presence of hypoglycemia was detected.
Conclusions:
It is desirable to establish strategies to optimize metabolic control in the population with diabetes mellitus admitted to surgical areas.
Keywords : diabetes mellitus; hypoglycemia; hyperglycemia; surgery.
