• Blood Glucose Fluctuations in Diabetic Patients Undergoing Elective ‎Surgeries: A Comparative Analysis of Pre-Transfer and Post-Recovery ‎Periods in the Operating Room
  • Hamidreza Karbalaei-Musa,1 Mohammad Hossein Hajali,2 Babak Jahangirifard,3,*
    1. ‎Student research committee, AJA University of Medical Sciences, Tehran, Iran‎
    2. Student research committee, AJA University of Medical Sciences, Tehran, Iran‎
    3. Department of Anesthesia and Intensive Care‎, School of Medicine‎, Aja University of Medical Sciences, Tehran, ‎Iran


  • Introduction: Metabolic stress and insulin resistance are major surgical outcomes that result in ‎postoperative hyperglycemia with increased mortality and morbidity in diabetic patients. ‎Therefore, the aim of this study was to compare blood glucose changes in diabetic patients ‎undergoing elective surgery immediately before being transferred to the operating room and ‎after entering the recovery room.‎
  • Methods: This study was performed on 100 diabetic patients. After obtaining patient consent and ‎demographic data, blood glucose levels were recorded before and after surgery. Chi-square ‎and Mann-Whitney tests were used to compare the data.‎
  • Results: Mean blood glucose before surgery was 114.07 mg/dl and after surgery was 125.47 mg/dl ‎‎(11.4 units increase), which was statistically significant (P <0.001) And this increase was ‎significantly increased in patients over 60 years of age and under general anesthesia, but ‎there was no significant difference in blood glucose, sex, BMI, history of addiction, blood ‎pressure, or type of surgery.‎
  • Conclusion: Regarding the increase in post-operative blood glucose especially in the elderly and under ‎general anesthesia and due to the increased complications of hyperglycemia in diabetic ‎patients, evaluation of blood glucose before and after surgery can reduce complications in ‎patients.‎
  • Keywords: Diabetes, Blood glucose, Surgery.‎