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Perioperative management of the diabetic patient.

BACKGROUND
The prevalence of diabetes mellitus is increasing worldwide and many more diabetics are requiring surgical intervention for various reasons. There is no general agreement on a satisfactory routine for managing diabetics during surgery while many aspects of its care also remain controversial.


METHOD
The broad medical literature on the perioperative management of the diabetic surgical patient was reviewed. Meta analysis, review articles, original articles and expert recommendations were identified on a search of the pubmed.


RESULT
This review addresses the important aspects of pre-, intra-and post-operative management of the diabetic surgical patient and highlights recent advances on the subject.


CONCLUSION
Different types of regimens are now available for managing the diabetic surgical patient. Optimal methods such as intravenous insulin infusions, though more laborious appear to be most popular. Clinical judgement remains a vital component of good perioperative management of patients with diabetes mellitus.