Blood Glucose Fluctuations in Diabetic Patients Undergoing Elective Surgeries: A Comparative Analysis of Pre-Transfer and Post-Recovery Periods in the Operating Room
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,1Mohammad Hossein Hajali,2Babak 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.