Special Needs of the Diabetic Undergoing Surgery

Abstract

Although diabetics undergoing surgery require special attention, their mortality and morbidity need not be excessive. Most patients do well if the physician takes measures to avoid ketosis and hypoglycemic reactions, gives half the usual dose of insulin before and half after an operation requiring spinal or general anesthesia, uses spinal anesthesia when feasible, and closely follows electrolytes, fluids and blood sugar postoperatively.