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Joint surgery can raise the level of sugar in diabetics | & nbspPhoto Credit: & nbspThinkstock
New York: A new study suggests that people with diabetes who undergo joint replacement surgery are more likely to have high blood glucose after surgery, which increases their risk of getting infections and other complications.
Patients with insulin-dependent diabetes were five times more likely than others to develop hyperglycemia or hyperglycemia after surgery, researchers said, including Bradford Waddell of the US Special Surgical Hospital.
"If your patient has diabetes and is dependent on insulin, you need to be more aware of controlling your blood sugar in the perioperative period because it presents a higher risk," said Waddell.
For the study presented at the annual meeting of the American Academy of Orthopedic Surgeons in 2019, the team reviewed the medical records of 773 men and women who underwent total hip or knee replacement surgery between 2011 and 2016.
Of these, 437 had insulin-dependent diabetes, while 336 were not affected. It included patients with a diagnosis of diabetes whose blood sugar was controlled with the help of insulin hormone and compared them to diabetics without the need for insulin.
Patients requiring insulin may be considered to have more severe diabetes and are more likely to experience elevated blood glucose levels during the perioperative period, Waddell said. Patients with elevated blood glucose levels during the previous three months – measured by hemoglobin A1c – were more likely to suffer from postoperative hyperglycemia, regardless of the group in which they were located.
Hemoglobin A1c greater than 6.59 for people with insulin-dependent diabetes and 6.6% without this condition was badociated with a high risk of postoperative hyperglycemia.
However, despite the increased risk of increased blood sugar levels after surgery, the incidence of postoperative joint infections did not differ between the two groups of patients. The author also noted that one of the drawbacks of the study was that it was insufficiently powerful to detect the risk of infection.
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