Ziel der perioperativen Betreuung von Diabetikern ist die Angleichung des Operationsrisikos an jenes der Nichtdiabetiker. Dazu sind Kenntnisse über den Diabetestyp, die Qualität der derzeitigen Behandlung und über eventuell vorliegende Spätschäden erforderlich. Zur perioperativen Behandlung von Diabetikern eignet sich die Verabreichung einer Glukose-Insulin-Kalium-Infusion bei gleichzeitiger subkutaner Gabe von Basal-insulin. Postoperativ wird je nach Ernährung unterschiedlich behandelt: Patienten mit parenteraler Ernährung erhalten Insulin in die Nährlösung, Patienten mit Sondenernährung erhalten Zinkinsulin, und Patienten mit oralem Nahrungsaufbau werden auf ein konventionelles oder intensiviertes Insulinschema eingestellt.

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