julie l williams m.d., m.s. ca-1
Post on 24-Feb-2016
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Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesia. Julie L Williams M.D., M.S. CA-1. Assessing severity of DM. Gold standard: HemoglobinA1c Goals of
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Diabetes Mellitus in a pre-operative patient: associated risks and complications of general anesthesiaJulie L Williams M.D., M.S.CA-1
Assessing severity of DM
Gold standard: HemoglobinA1cGoals of <5.5-6%Often a recent HbA1c is not available...Evaluate patient in pre-operative clinic setting with basic metabolic panel, accucheck, repeat blood glucose test on morning of surgery.Body HabitusType 1 vs. Type 2Pharmacologic management
Specific pre-operative concerns
D.M., no matter how well or poorly controlled is a risk factor for CAD and major cardiac event in perioperative setting.Pre operative testing
EKGCMPfasting and post prandial blood glucoseUrinalysisCBC
ASA/ACA guidlines
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