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Management of diabetic patients undergoing elective surgery

Management of diabetic patients undergoing elective surgery. Helen Williams (ST6 Anaesthetics) Simon Lewis (Consultant Anaesthetists). Diabetic patients undergoing surgery. Diabetic patients have greater complication rates, mortality rates and length of stay

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Management of diabetic patients undergoing elective surgery

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  1. Management of diabetic patients undergoing elective surgery Helen Williams (ST6 Anaesthetics) Simon Lewis (Consultant Anaesthetists)

  2. Diabetic patients undergoing surgery • Diabetic patients have greater complication rates, mortality rates and length of stay • Diabetic management should be optimised (HbA1c < 69 mmol/mol) • Elective surgery should be delayed if it is ≥ 69 mmol/mol while control is improved • Refer back to GP

  3. Pre-operative assessment clinic 17,300 patients/year 1364 diabetic patients/year (8%) 1068 (78%) HbA1c ≤69 mmol/mol - Median 49 (IQR 13) 288 (21%) HbA1c >69 mmol/mol - Median 79 (IQR 19)

  4. Patients with HbA1c ≥69

  5. Diabetic patients with HbA1c >69mmol/mol 288 (21%) patients 96 (33%) had surgery delayed 36(38%) had surgery 89% improved control 11% emergency surgery 60 (62%) still waiting for surgery

  6. Waiting times for surgery

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