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Revista Virtual de la Sociedad Paraguaya de Medicina Interna
versão On-line ISSN 2312-3893
Resumo
GIMENEZ ORTIGOZA, Víctor Daniel e LOPEZ TOLEDO, David. Capillary glycemia levels in diabetic patients undergoing elective surgery. Rev. virtual Soc. Parag. Med. Int. [online]. 2021, vol.8, n.1, pp.78-84. ISSN 2312-3893. https://doi.org/10.18004/rvspmi/2312-3893/2021.08.01.78.
Introduction:
Diabetes mellitus is one of the most prevalent metabolic diseases worldwide and is considered a risk factor for performing surgical procedures.
Objective:
To determine capillary glycemia values in diabetic patients undergoing elective surgery.
Subjects and methods:
Observational, descriptive, prospective design with analytical components. Patients with diabetes mellitus undergoing elective surgery at the Hospital de Clínicas (San Lorenzo, Paraguay) were included. Demographic variables, insulin infusion requirement, ASA classification, capillary glycemia, glycated hemoglobin level, and type of anesthesia were determined.
Results:
One hundred fourteen diabetic patients were included, mean age 55±12 years. The mean glycated hemoglobin was 7.3±1.2%, the mean value of glycemia at the beginning of the surgery was 109±12 mg/dL and at 60 min 124±17 mg/ dL. A significant association (p = 0.001) was found between glycated hemoglobin values greater than 7.5% and elevated glycemia during surgery (≥ 180).
Conclusion:
Glycemic levels at the beginning of surgery were 109±12 mg/dL and at 60 min 124±17 mg/dL. A significant association was found between elevated glycated hemoglobin values and intraoperative hyperglycemia.
Palavras-chave : diabetes mellitus; ambulatory surgical procedures; hyperglycemia; blood glucose.