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November 8, 1999

An Update on Perioperative Management of Diabetes

Author Affiliations

From the Division of Endocrinology, Metabolism, and Hypertension, Wayne State University School of Medicine, Detroit, Mich.

Arch Intern Med. 1999;159(20):2405-2411. doi:10.1001/archinte.159.20.2405

Surgery in the patient with diabetes mellitus is relatively common, as the numbers of persons with diabetes is increasing and diabetes predisposes to medical conditions that require surgical intervention. An estimated 25% of diabetic patients will require surgery, and advances in perioperative care of these patients allow them to safely undergo the most complicated surgical procedures. We will review issues of preoperative, intraoperative, and postoperative care of diabetic patients.