Clinical Guidelines for Perioperative Management of Diabetic Patients

Surgery accompanies by high mortality and morbidity rates in diabetic patients. as this dis-ease affects numerous systems diabetic patients require to be approached systemically and carefully. stress of surgery stimulates catabolic hormones secretion. perioperative assess-ments can help us to find the high risk diabetic patients and the patients need extra- man-agement. 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.