The Effect Of Giving Preoperative Oral Glucose On Blood Glucose Levels Of Diabetes Mellitus Patients In Laparotomy Surgery With General Anesthesia
The Effect of Giving Preoperative Oral Glucose on Blood Glucose Levels of Diabetes Mellitus Patients in Laparotomy Surgery with General Anesthesia
Introduction
Surgery with general anesthesia is a procedure that can trigger stress responses in the body, leading to increased blood glucose levels (hyperglycemia) and ketone conditions in the body. This is particularly concerning for patients with diabetes mellitus, as their bodies are already struggling to regulate blood sugar levels. In this context, this study aims to evaluate the effect of glucose oral administration before surgery on blood glucose levels in patients with diabetes mellitus who undergo laparotomy surgery with general anesthesia.
The Importance of Blood Glucose Management in Diabetes Patients
For patients with diabetes mellitus, maintaining stable blood glucose levels is crucial to prevent complications that may occur after surgery. Determination of precise blood glucose levels is very important, as it can help medical personnel to make informed decisions about the management of diabetes patients during and after surgical procedures. This study aims to compare the effect of glucose administration orally before surgery to blood glucose levels in patients with diabetes mellitus during surgery using general anesthesia.
Research Methods
This research was conducted with a clinical design that is randomized controlled trial (RCT) with single-blind. The study location is in the central surgery installation and postoperative recovery room at the Adam Malik Hajj General Hospital, Medan. The research sample involved patients with diabetes mellitus who underwent elective -scheduled laparotomy under general anesthesia, taking into account the established inclusion and exclusion criteria.
Data Analysis
Data analysis was carried out using the T test, where 95% confidence interval was used, with P-value <0.05 considered significant. This statistical analysis was chosen to determine the significance of the difference in blood glucose levels before and after giving maltodextrin.
Research Result
The average age of the study participants was 50.1 ± 12.73 years. Before giving maltodextrin, the average blood glucose level of participants was 178.47 mg/dl, and after giving maltodextrin, glucose levels decreased to 163.78 mg/dl. The P value obtained is 0.001 (p <0.05), indicating a significant effect between glucose levels before and after giving maltodextrin.
Conclusion
The results showed the influence of oral glucose administration before surgery on blood glucose levels in patients with diabetes mellitus. The decrease in postoperative blood glucose levels is more significant in patients who receive maltodextrin giving compared to the control group that receives placebo. This finding is very important, as it can help in the management of blood glucose levels of diabetes patients during and after surgical procedures, thus minimizing the risk of complications and increasing postoperative results.
Implications for Clinical Practice
By understanding this influence, medical personnel are expected to be able to conduct better interventions in the management of diabetes mellitus patients undergoing surgery, to achieve optimal recovery rates and better clinical results. This study highlights the importance of preoperative oral glucose administration in patients with diabetes mellitus undergoing laparotomy surgery with general anesthesia.
Limitations of the Study
This study has several limitations, including the small sample size and the use of a single-blind design. Future studies should aim to recruit a larger sample size and use a double-blind design to minimize bias.
Future Research Directions
Future research should aim to investigate the effect of preoperative oral glucose administration on blood glucose levels in patients with diabetes mellitus undergoing different types of surgery. Additionally, studies should investigate the optimal dose and timing of preoperative oral glucose administration to maximize its effect on blood glucose levels.
Conclusion
In conclusion, this study demonstrates the significant effect of preoperative oral glucose administration on blood glucose levels in patients with diabetes mellitus undergoing laparotomy surgery with general anesthesia. The findings of this study have important implications for clinical practice, highlighting the need for medical personnel to consider preoperative oral glucose administration as a strategy to manage blood glucose levels in diabetes patients undergoing surgery.
Frequently Asked Questions (FAQs) about the Effect of Giving Preoperative Oral Glucose on Blood Glucose Levels of Diabetes Mellitus Patients in Laparotomy Surgery with General Anesthesia
Q: What is the purpose of giving preoperative oral glucose to patients with diabetes mellitus undergoing laparotomy surgery with general anesthesia?
A: The purpose of giving preoperative oral glucose is to help manage blood glucose levels in patients with diabetes mellitus during and after surgery. This is because surgery with general anesthesia can trigger stress responses in the body, leading to increased blood glucose levels (hyperglycemia) and ketone conditions in the body.
Q: How does preoperative oral glucose administration affect blood glucose levels in patients with diabetes mellitus?
A: The results of this study show that preoperative oral glucose administration can decrease blood glucose levels in patients with diabetes mellitus. The decrease in postoperative blood glucose levels is more significant in patients who receive maltodextrin giving compared to the control group that receives placebo.
Q: What are the benefits of preoperative oral glucose administration in patients with diabetes mellitus undergoing laparotomy surgery with general anesthesia?
A: The benefits of preoperative oral glucose administration include minimizing the risk of complications and increasing postoperative results. By understanding the influence of preoperative oral glucose administration, medical personnel can conduct better interventions in the management of diabetes mellitus patients undergoing surgery.
Q: Who should receive preoperative oral glucose administration?
A: Patients with diabetes mellitus who are undergoing laparotomy surgery with general anesthesia should receive preoperative oral glucose administration. This includes patients with type 1 and type 2 diabetes mellitus.
Q: What is the optimal dose and timing of preoperative oral glucose administration?
A: The optimal dose and timing of preoperative oral glucose administration are not well established. Future studies should investigate the optimal dose and timing of preoperative oral glucose administration to maximize its effect on blood glucose levels.
Q: Can preoperative oral glucose administration be used in patients with other types of surgery?
A: The effect of preoperative oral glucose administration on blood glucose levels in patients with diabetes mellitus undergoing different types of surgery is not well established. Future studies should investigate the effect of preoperative oral glucose administration on blood glucose levels in patients with diabetes mellitus undergoing different types of surgery.
Q: What are the limitations of this study?
A: This study has several limitations, including the small sample size and the use of a single-blind design. Future studies should aim to recruit a larger sample size and use a double-blind design to minimize bias.
Q: What are the future research directions for this study?
A: Future research should aim to investigate the effect of preoperative oral glucose administration on blood glucose levels in patients with diabetes mellitus undergoing different types of surgery. Additionally, studies should investigate the optimal dose and timing of preoperative oral glucose administration to maximize its effect on blood glucose levels.
Q: What are the implications of this study for clinical practice?
A: The findings of this study have important implications for clinical practice, highlighting the need for medical personnel to consider preoperative oral glucose administration as a strategy to manage blood glucose levels in diabetes patients undergoing surgery.