Surgical complication in the diabetic patient

Question 1

how does inflammation influence insulin resistance?

Answer 1

inflammation exacerbates insulin resistance

Question 2

what % of the diet should be from plant food?

Answer 2

80%

Question 3

what are comorbidities to surgery on a diabetic patient?

Answer 3

neuropathy
nephropathy
other medications

Question 4

what is the baseline preop evaluation for an emergent surgery?

Answer 4

establish baseline
EKG
blood work
optimize what you can

Question 5

how did intensive insulin therapy affect mortality?

Answer 5

increased

Question 6

what is the goal for blood glucose?

Answer 6

under 180

Question 7

what is the best method for insulin administration / route?

Answer 7

either subQ or IV drip (both do not combine routes)

Question 8

what is the treatment for contrast induced nephropathy preoperatively?

Answer 8

adequate hydration

N-acetylcysteine (glutathione donor)

Question 9

what medications and procedures given in the hospital can make blood glucose worse?

Answer 9

steroids

TPN