Year 2020 / Volume 31 / Number 2

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Perioperative management of the diabetic patient in podiatric surgery

Rev. Esp. Pod. 2020; 31(2): 133-141 / DOI: 10.20986/revesppod.2020.1590/2020

Andrés José Sánchez Polo, Elisa de Llano Ormazábal, María del Mar Torrens Darder


ABSTRACT

Diabetes is the most common endocrinopathy, so the podiatrist must be familiar with the presurgical management of these patients. After recording and exploring the patient, it is necessary to decide which complementary tests should be prescribed and which modifications in antibiabetics are currently recommended, the main objective is to maintain adequate levels of perioperative basal glycemia since it reduces the number of intra- and postoperative complications and improves the patient safety and the outcome of the surgery itself. High blood glucose levels make it necessary to postpone surgery and refer the patient to primary or endocrine care services.



RESUMEN

La diabetes es la endocrinopatía más frecuente, por lo que el podólogo debe estar familiarizado en el manejo prequirúrgico de estos pacientes. Tras historiar y explorar al paciente hay que decidir qué pruebas complementarias se deben prescribir y qué modificaciones en los antidiabéticos se recomiendan en la actualidad. El principal objetivo es mantener unos niveles adecuados de glucemia basal en el preoperatorio, ya que esto disminuye el número de complicaciones intra y posquirúrgicas, mejora la seguridad del paciente y el resultado de la propia cirugía. En cambio, niveles elevados o no controlados de glucemia obligan a diferir la cirugía y derivar al paciente a los servicios de atención primaria o endocrinología.


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Instrucciones para citar

Sánchez Polo A, de Llano Ormazábal E, Torrens Darder M. Perioperative management of the diabetic patient in podiatric surgery. Rev Esp Pod 2020; 31(2): 133-141 / DOI: 1020986/revesppod20201590/2020


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Aceptado: 26/10/2020

Prepublicado: 24/11/2020

Publicado: 24/11/2020


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