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Diabetes mellitus and the pediatric anesthetist
Author(s) -
Chadwick V.,
Wilkinson K.A.
Publication year - 2004
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2004.01300.x
Subject(s) - medicine , diabetes mellitus , medline , anesthesiology , intensive care medicine , pediatrics , anesthesia , endocrinology , political science , law
Diabetes mellitus (DM) is a relatively common problem in the perioperative period in adults. It also occurs in childhood and there is evidence that the prevalence is increasing. Children may present for minor surgery unrelated to their diabetes, often to the nonspecialist center. Even in the most ideal circumstances, children with DM experience marked fluctuations in blood glucose levels. Added to this, the stresses of illness and surgery and their glucose control can be challenging. The rule during the perioperative period is to avoid hypoglycemia or marked hyperglycemia. Therefore, a well thought out scheme of management is essential. An updated review of this important problem is presented in this article.