جستجوی مقالات مرتبط با کلیدواژه « تغییرات قند خون » در نشریات گروه « پزشکی »

Hyperglycemia, which occurs during cardiac surgery, has been shown to be associated with increased morbidity and mortality. The management of hyperglycemia during coronary artery bypass graft surgery has been the focus of investigation in recent years. The aim of this study was to evaluate the rate of changes in blood sugar in patients undergoing coronary artery bypass graft surgery and related factors in Dr. Heshmat Hospital affiliated to Guilan University of Medical Sciences as a referral, educational, treatment center and the only subspecialty heart center in Guilan province.

This descriptive-cross sectional study was done during 2019-2020. Eligible patients’ candidate for elective CABG surgery enrolled the survey. A questionnaire was filled out containing demographic data and blood sugar at 5 measurement point times. Finally, the collected data were entered into SPSS version 21 and after examining the normality of the data, independent t test was used to compare and determine the factors associated with changes in blood sugar in patients undergoing coronary artery bypass grafting from correlation and Chi square tests. Also, to compare the mean changes in blood sugar in patients undergoing coronary artery bypass graft surgery at the times before induction of anesthesia, before the start of the pump, in the middle of the pump, after the pump and at the end of the operation, repeated measure test was used.

The data from 55 CABG cases were analyzed. Trend of changes was increasing and significant from baseline to the end of surgery (P ˂0.0001). ASA class III, BMI > 30, age above 60, the history of DM more than 10 years and insulin administration during surgery were significantly associated with higher levels of blood sugar in 5 measurements point times (P ˂ 0.05).

We found that blood sugar is well controlled in CABG surgery in Heshmat hospital. But special attention should be paid to ASA class III, BMI > 30, Age above 60, insulin administration during surgery, surgery duration more than 180 minutes and the history of DM more than 10 years.

High prevalence of Type 2 Diabetes Mellitus (T2DM) and its demand for regular care have resulted in a massive amount of electronic health records (EHRs). Hemoglobin A1c (HbA1c) and Fasting Blood Sugar (FBS) levels are two widely-used diagnostic measures for evaluation of diabetes care. This study aimed at assessing Family Medicine Plan (FMP) and exploring the trend of changes in FBS and HbA1c levels in patients attending a referral lab affiliated with Mazandaran University of Medical Sciences. 

This cross-sectional survey was carried out in 12761 EHRs of a registry database containing the results of blood sugar tests and demographic features selected from over 250 thousand EHRs from 2012-2018. The records were categorized according to normal and abnormal levels of HbA1c (cut-off at 7%). The bivariate logistic regression model was performed by R v.3.6.1 and ggplot2 for data visulazation.

Abnormal HbA1c levels were seen in 37.1% of women, 36.7% of men, and 36.7% of the general population. There were significant associations between HbA1c level and age, type of insurance, FMP, kind of care plan, and the year of testing (P<0.001), but, no significant relationship was found between HbA1c level and gender (P>0.05).

Despite the increasing prevalence of T2DM in Iran, the trend of blood sugar changes during these years showed that changes in HbA1c level was lower than 7% in studied citizens. Considerable attention to self-management in recent years indicates improvements in diagnosis and care of citizens at-risk of diabetes.

Major body injury or surgery is associated with reproducible metabolic and hormonal responses. Alteration of blood glucose levels is one of the necessary metabolic changes to surgical stress. Surgical techniques and different methods of anesthesia are factors that can help to control and balance the body’s hormones. One of the most effective ways for decline the endocrine-metabolic response is local anesthesia. We conducted this study to compare the measurement of blood glucose before، during and after surgery and complete the pieces of anesthesia puzzle. Methods & Materials: This was retrospective cohort study performed on 126 patients between 18-38 ages under cesarean section. Sixty-three women who were undergoing spinal anesthesia have been selected as first group، and the second group was 63 patients with general anesthesia. In this study، level of glucose was recorded by glucometer 30 min before surgery (in waiting room)، during operation (after childbirth) and 30 min after surgery (in recovery room) measured and recorded. Average of blood glucose levels in spinal anesthesia group was significantly different between the three measurements (p value = 0. 007)، and also in the general anesthesia group were more significant (p value < 0. 001). Mean of blood glucose 30 min before surgery in spinal and general anesthesia، were 81. 49±14. 64 and 84. 09±10. 95، respectively (p value = 0. 26)، and during surgery were 86. 50±23. 49 and 90. 74±17. 82 (p value = 0. 256)، and finally 30 min after operation were 79. 93±18. 35 and 94. 87±16. 32 (p value < 0. 001). Spinal anesthesia is more effective way to decease blood sugar alterations and its adverse effects on mothers hormonal system during cesarean sections.

Electroconvulsive therapy (ECT) is used in the treatment of various medicalconditions such as severe depression، mainly in situations where the patient does not respondeffectively to drug treatment and during pregnancy where drug intake can result in severecomplication for fetus. ECT carried out under general anesthesia، therefore before ECT some physical exam and some lab data is necessary. Patients who are ECT candidates also include diabetic patients which renders the study of the effect of ECT on blood glucose and serum electrolyte level significantly important. Blood sample were taken from patients before induction of anesthesia. After 30 seconds preoxygenation anesthesia was induced by making use of sodium thiopental and succiniylcholine. 20 minutes after ECT، the second blood samples were taken. The resulting data was gathered and then subjected to statistical analysis. To investigate changes in blood sugar and serum electrolytes level in 70 patients who were subjected to ECT، significant changes were noted in pre and post ECT in glucose between men and women and sodium in men and women and potassium in men. But no significant changes were noted in pre and post ECT calcium level and in potassium level in women. ECT carried out under general anesthesia; therefore pre ECT physical exam andblood samples are required. Electrolytes change under ECT، therefore attention to theseelectrolytes specially sodium and potassium are important