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Joint surgery may shoot up sugar level in diabetics

IANS  |  New York 

People with who undergo joint replacement are at higher risk of experiencing elevated blood sugar levels after the operation, increasing their chances of developing and other complications, a new study suggested.

Patients with insulin-dependent were more than five times as likely as those without the condition to develop hyperglycemia, or high blood sugar, after surgery, said researchers, including from the Hospital for Special (HSS) in the US.

"If your patient comes in with and is dependent on insulin, you need to be more cognizant of controlling their blood sugar in the perioperative period because they're at higher risk," said Waddell.

For the study, presented at the 2019 annual meeting of the American Academy of Orthopaedic Surgeons, the team reviewed medical charts of 773 men and women who had undergone total hip or between 2011 and 2016.

Of those, 437 had insulin-dependent diabetes, while 336 had not the condition. It included patients with a diagnosis of diabetes whose blood sugar was being controlled using the hormone insulin and compared them with diabetics who did not require insulin.

Patients requiring insulin can be considered to have more and have a greater chance of experiencing elevated blood glucose in the perioperative period, Waddell said.

Patients with higher blood glucose over the previous three months -- as measured by Hemoglobin A1c -- were more likely to experience post-operative regardless of which group they were in.

Hemoglobin A1c above 6.59 for people with and 6.6 without the condition was associated with an elevated risk for post-operative

However, despite the increased risk for elevation in blood sugar after surgery, the incidence of did not differ between the two groups of patients. The also noted that a limitation of the study was that it was underpowered to detect the risk of



(This story has not been edited by Business Standard staff and is auto-generated from a syndicated feed.)

First Published: Sat, March 16 2019. 20:12 IST