“Are there precautions associated with giving anesthesia for diabetic patients?”
My mother in law is heavily diabetic. She has to have a hip bone surgery which will be done under anesthesia. Can there be any counter interactions?
11 Answers
Counter interactions can be with anything, not just anesthesia.
DM should be screened and adjusted, blood sugar & A1C prior to surgery.
The glucose should be easily managed but make sure you speak with the anesthesiologist about what medicines to take preop
Control of blood glucose is the main concern of the care of diabetic patients. Anesthesiologists and nurses will continue to monitor the diabetic patient's blood glucose before, during, and after surgery.
Yes diabetes is an additional risk with anesthesia, and she will likely have her blood sugar monitored before and after surgery. If it's a long procedure, they may monitor it during the surgery.
The issue is the sugar level. The anesthesiologist in conjunction with the internist will decide on the proper regimine
Of course, but anesthesiologists deal with diabetics all the time. Let the anesthesiologist evaluate the patient. We’re doctors and match the patient for the safest most efficient drugs paring them with the underlying medical conditions and the particular surgery the patient is undergoing
Managing a patient around the perioperative setting is very important to reduce delayed wound healing, risk of infections, and other affects of high blood sugar. Prior to surgery, it's important that she be seen by the physician managing her diabetes to make sure her HgbA1C is under control. Prior to surgery, we like to see the Glucose below 180. That's not only important during surgery but also the days after surgery and during recovery in the following weeks. You will receive specific instructions as to how much of your normal diabetes medications to take the night before or the morning of surgery. Being told not to take anything at all is not accurate. Usually it's a percent of what you normally would take. Once again, make sure your treating physician, surgeon, and Anesthesiologist are all coordinating this care.
No interaction per se. But your anesthesiologist will adjust medications during the surgery.
Boris Yaguda, M.D.
Boris Yaguda, M.D.
Hi, there are two types of diabetics. Juvenile and adult onset. We split them into insulin and non insulin dependent. The impact of of anesthesia with diabetes is multifactorial because diabetes can impact multiple organ systems and also the level of glucose. That is why it is important that we work closely with the patient and their primary physician in not only optimizing sugar control but the organ systems involved are optimized prior to surgery to cut down the risks.
Dr Ketch
Dr Ketch
Diabetes should be under reasonble control before any elective anesthesia or surgery. Infection rates are higher in patients whose blood sugar is not under control. Also, stress from poorly controlled diabetes increases the risk for cardiovascular complications. Your Mom should have a consultation with a physician anesthesiologist well before her hip surgery is scheduled so that diabetic medications can be adjusted if needed.
