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| Categories: Diabetes in everyday life |
| Diabetes in everyday life | |
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Diabetes and surgeries
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However, there might be emergency operations besides the normal planned operations.
| Tip |
| Always carry your diabetes-emergency ID with you. Choose a place that can be found easily. |
Therefore it is highly important that you always carry your emergency ID with you. There are various possibilities to put it: as a cachet on your wrist or around your neck, as a card in your purse. The information on this card can save your life: type of diabetes, occurring after-effects, further diseases, allergies, all medication, addresses of relatives who are to be informed.
Unfortunately, it has been the case that diabetics have been operated in hospitals that knew next to nothing about metabolic disorders and the treatment of these was neglected. Therefore, if it is no emergency case, chose the hospital you want to put your trust in.
| Tip |
| Talk to the nursery staff before the operation. If you get the impression that diabetes does occur seldom, try to choose another hospital. You have any right to do so. |
What are the facts?
Diabetics are operated more often than non-diabetics.
| Remember |
| Due to after-effects, diabetics are operated more often. Good preparation can lower the risk (e.g. hypoglycaemia during the operation). |
This is due to after-effects of diabetes [more]. Especially vasculopathy of the coronary artery, the arteries providing the brain as well as the arteries in the pelvis and in the legs have to be treated surgically. Often there are also heavy infections and complications of the eyes, the kidneys, the connective tissue and the supporting tissue. Due to the fact that most diabetics do not adjust their diabetes properly, the stress of the anaesthesia and the operation can lead to an even worse adjustment until the collapse of the metabolism. If all people involved, from the physician to the surgeon and the nursery staff, are aware of the higher risks when operation a diabetic, the risk of the operation can be lowered.
| Remember |
| Before the surgery the blood glucose should be on a "normal" level. After the operation it should be checked according to an individual schedule. |
As long as there is no emergency the operation should be accurately planned. This includes an individually adapted care before, during, and after the surgery in consultation with a doctor who has experience with diabetes. Before the surgery the blood glucose should be on a "normal" level. After the operation it should be checked according to an individual schedule.
Communication is everything
Therewith the hospital will be well prepared for you, it is necessary to make sure that people involved in your stay know that you are a diabetic. They should also be familiar with the consequences that arise from this. If you are a well instructed diabetic, many difficulties concerning the self-control and the care can be eliminated by a constructive conversation.
Which effects does a surgery have on the metabolism?
| Remember |
| To avoid a collapse of the metabolism during the operation the treatment of your diabetes has to be intensified. |
A surgery is quite a burden for the body and this will lead to a strong and long-lasting rise of the blood glucose. To avoid a collapse of the metabolism during the operation the treatment of your diabetes has to be intensified. A hypoglycaemia can occur because usually an operation takes place on an empty stomach (risk of vomiting).Therefore you should stop taking pills that lower the blood glucose (such as glyburide or sulfonylureas) beforehand. If necessary, substitute these with insulin injections. Because of the stress caused by anaesthesia, operation and wound healing the insulin dose has to be increased until the metabolism is back to normal. If there are tremendous irregularities of the metabolism or in case of a long operation, the blood glucose level has to be stabilized by giving infusions of syrup in addition to insulin. There is a rule saying that every type-2-diaetic who has a HbA1c of more than 7 percent has to be switched on insulin for a short time. A planned surgery can be made much safer by giving extensive information, passing on data and consultations.
Source : Diabetiker Ratgeber Juni 2002, März 2003
Translated by Jella Eifler |
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