British Journal of Anaesthesia, 2003, Vol. 90, No. 4 428-429
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia
Editorial II
Anaesthesia for the diabetic patient
1 Department of Anaesthesia and Intensive Care Medicine, St Georges Hospital Medical School, London SW17 0RE, UK,
Corresponding author. E-mail: g.hall@sghms.ac.uk
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The prevalence of diabetes mellitus has been increasing rapidly in recent years. In the USA it has been estimated that diabetes shortens life expectancy by up to 15 yr, and that the age-adjusted death rate for diabetes has increased by 30% since 1980.1 This is in marked contrast to other major multifactorial diseases, such as heart disease, stroke, and many cancers, for which the mortality rate has either declined or remained stable. Inevitably, diabetic patients present for surgery with the complications of the disease: cardiac, vascular, renal, ophthalmic, etc. The metabolic management of these patients in the perioperative period has become routine with agreement that all