Abstract

Abstract: Diabetes Mellitus is one of the common non-communicable diseases and is found to be one of the top five global causes of premature death. It is a metabolic disorder associated with increased risk of perioperative infection and postoperative cardiovascular morbidity and mortality. Strict glycemic control is considered as a perioperative goal in surgical patients. But there is no overall consensus on the optimal perioperative management of the diabetic patient. This case control study is done to understand the incidence of post hypoglycaemic hyperglycemia in diabetic patients posted for surgery (on the day of surgery). 50 participants were selected, 30 were diabetic patients and 20 were non diabetic control group who were all planned for surgery. Their blood sugar levels were estimated in pre dinner, midnight and fasting state. These values give a clear picture on the increased incidence of post hypoglycaemic hyperglycemia in diabetics than the control non- diabetics posted for surgery. Thus this study helps in calculating the insulin dose in pre operative period. This helps in blood sugar control in diabetics posted for surgery and thereby decrease the perioperative morbidity and mortality. Keywords: Surgery, post hypoglycaemic hyperglycemia, fasting blood sugar, perioperative outcome.

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