Uterine fibroid patients with diabetes mellitus

Uterine fibroids are gynecological disease, which required more surgery. And the Diabetes is a blood sugar to rise as the main feature, Complications more difficult to cure chronic systemic metabolic diseases, surgery and anesthesia stress response can lead to diabetes increased evoked serious complications or even death. Therefore, the strengthening of such patients perioperative care. Our feeling is : ① preoperative care : clinical physicians actively with the collaboration of the patients blood sugar, urine sugar, Urine and ECG, B superfine inspection, developed diabetes diet guide patients and their families master recipes and food-for-measurement algorithm. In oral hypoglycemic agents or insulin injection, guiding patients every 4 ~ 6 hours detection of glucose, 2-hour postprandial to prevail. and ordinary insulin injection after 30 minutes of their time looking dining prevent hypoglycemia. Let patients and their families to know the performance of hypoglycemia, such as dizziness, weakness, tremor, hunger, palpitation, pulse fast, sweating and slurring in speech, awareness of such a trance. The occurrence of low blood pond can enjoin its use syrup, biscuits, and so on. General requirements preoperative fasting blood glucose control in the 7.25-8.3mmol / L glucose (+) below Urine (-). In addition, we must improve public health and education, to enable patients to strengthen hygiene, attention to the protection of the skin, prevent injury and infection. not increase diabetes, affecting surgery. ② postoperative care : after gynecological diseases in addition to conventional care, but also enhance diabetes care. Continuing to provide low-flow oxygen and closely monitor patients vital signs and 24-hour access to the volume. Strictly enforce the sterile techniques, the incision dressings keep dry and catheter patency and prevent wound infection and urinary tract infection. Close observation of patients with urine color, odor, correct and timely collecting specimens submitted, the report found abnormal timely doctors. Rational use of antibiotics, appropriate activities to encourage patients, constantly changing position to prevent the lung infection. Before eating strictly according to the proportion of insulin and guard against high blood sugar and low blood sugar, glucose to 7.25 ~ 11.1mmol / L of safety. In addition, to prevent patients bedsore, especially with edema, fluid should be noted intramuscular injection site and skin care. For diabetic patients need long-term medication or intramuscular injection of insulin, so patients should be told of the importance of medication, help its mastery of the insulin injection method, location, time, dose and aseptic technique, make it an early recovery. (The above information is for reference only, not as a treatment or therapeutic basis)