Surgery In Diabetes Mellitus (DM). Walid Sayed Abdelkader Hassanen Specialist of internal Medicine March 2010. Surgery In Diabetes Mellitus. Hyperglycemia leads to impaired wound healing , deficient formation of granulation tissue.
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Specialist of internal Medicine
Lipolysis with increased FFA
Increased nitrogen loss
Increased urea production
Increased sodium retension & potassium execretion and alteration of water metabolism ( increased ADH and increased aldosteronesecretion )
Type: emergency or elective
Minor or major procedure
Type of anesthesia
Post operative oral intake