Surgery in Diabetic patients

Surgery in Diabetic patients

Background

Patients with diabetes have additional risks when they are undergoing any kind of surgical procedure. Also, this risk increases if you have diabetes for an extended period of time with uncontrolled blood sugar levels. Diabetics are very commonly associated problems in patients undergoing any kind of surgery. Appropriate control of diabetics is almost essential in all diabetic patients undergoing surgery.

Risks associated with Diabetes in surgical patients

  • Increased risk of infection after surgery
  • Increased risk of wound infections
  • Effect of diabetes on kidneys, liver, and heart during and after surgery
  • Anesthesia-related complications in diabetic patients.
  • Risk of associated disease with diabetics like hypertension, cardiovascular disease, kidney and liver diseases.

Precautions Before Surgery

The better the control of your diabetes lead to better outcome of your surgical procedure.

  • Consult your Physician

Be sure to tell your doctor about any medication you are taking currently. Ask what would be the appropriate dosage of insulin up to the day of operation. Also, if you should need to stop any medication.

You must discuss with your doctor about any other issues that you have with your heart, kidney, liver, etc. Patients with diabetes might need to stay longer in the hospital longer to ensure their sugar levels are completely under control.

They might advice you to change your medications or usage of insulin in case of high blood sugar levels.

  • Keep a check on your Blood Sugar

The potential complications  during and after the surgery can be minimised if you keep your blood sugar level in control. Your surgery may be delayed or even cancelled if your sugar level is high.

  • Start Moving and Eat Well

Initiate or maintain your exercise routine leading up to surgery day. Be active and keep your body moving with simple activities like walking and climbing the stairs. Also eat nutritious food and a balanced diet.

  • Keep Stress in Check

Talk to your doctor to ease your concerns around surgery. Try some self-calming techniques like yoga, meditation and listening to music to get your anxiety in place.

  • Bring your Supplies

Carry the list of all your medication and meal plan and share it with your healthcare staff. Hospitals do not always have every type of insulin or other diabetes medication available.

Precautions after surgery

  • It is important to get your blood sugar level checked after the surgery. You may have trouble controlling your blood sugar level because. Usually, your clinicians ensure your blood sugar in check after surgery. 
  • Have trouble eating
  • Have pain or discomfort
  • surgery related to fluctuating blood sugar levels.
  • Are less active than usual.
  • Watch for signs on infection such as fever and swelling around wound
  • Mobiliseearly , change your position and get out of the bed frequently to avoid bed sores.
  • Eating high quality nutritious food will help building your immune system so that you can get back to your routine life as soon as possible.

Precautions after discharge from hospital

  • You should do your best to keep your blood sugar 80-130 to decrease the risk of post-operative infection and promote healing.
  • Check your blood sugar 3-4 times a day for few initial weeks.
  • You should inform your doctor if your blood sugar level goes higher.
  • Stay hydrated with water and sugar free drinks.
  • Never skip your medications.
  • Eat healthy meals

To consult with the best team of general surgeons available at  The Surgeons House (SHL) in different global locations, please click this link for more details.

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