Postoperative and Intensive Care Management of Nutritional Therapy in Patients with Diabetes

Abstract

Diabetes is an chronic disease with akut and chronic complications. Diabetes is common, and its frequency is continuously increasing. Due to some metabolic responses of the body to surgical operations, hyperglycemia is frequently seen in diabetic patients in the postoperative period. It is known that hyperglycemia is closely related with morbidity and mortality in the postoperative period and in critical patients. With the addition of malnutrition to hyperglycemia, the risk of morbidity and mortality increases even more. For this reason, the timing, the content, and the administration of the nutritional support must be determined in an extremely careful manner. The objective of nutritional support is to achieve the optimal nutritional status by providing the diabetes patient with the necessary micro- and macronutrients, while still avoiding hypo- or hyperglycemia.