NUR 302 Nursing

Question:

Topic: Diabetes management in surgical patient

Management of diabetes in patients undergoing elective surgery is an arduous affair. Diabetes cause severe complications in patients who are undergoing elective surgery and have serious postoperative complications. Therefore, the aim of this work was to elucidate the process improvement strategy that might be helpful in the identification of candidates having poorly controlled diabetes and undergoing elective surgery. The evidence is gathered through literature search and relevant information available in this context was retrieved from Google Scholar. The evidence revealed that preoperative management of diabetes would be helpful to avoid the postoperative complications after elective surgery. The surgery as gastric bypass can be helpful in the treatment of type 2 diabetes for better health outcomes.

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Better management of glycemic condition before surgery can be helpful in the prevention of diabetic complications post operation. The management of elective surgery can be done through preoperative and improved glycemic control. Surgical outcomes may also be improved through attention being given to other co-morbid factors alongside glycemia. The co-morbid risk factors that are caused due to glycemia, cholesterol and blood pressure in obese patients (mild to moderate) with type 2 diabetes can be mitigated by bariatric bypass surgery. From the obtained results, it can be concluded that early intervention for the management of diabetes and improvement of postoperative complications. Appropriate glycemic monitoring and control management before surgery can also be helpful to combat the co-morbid risks following the surgery. Gastric bypass surgery is the best option so far recommended for glycemic treatment following surgery.

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