Type 1 and other types of diabetes mellitus in the perioperative period. What the anaesthetist should know

• Published in: Journal of clinical anesthesia Vol. 84; p. 111012
• Main Authors: van Wilpe, Robert, Hulst, Abraham H., Siegelaar, Sarah.E., DeVries, J. Hans, Preckel, Benedikt, Hermanides, Jeroen
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.02.2023; Elsevier Limited
• Subjects: Anesthesiologists; Anesthetists; Blood Glucose; Diabetes; Diabetes mellitus; Diabetes Mellitus, Type 2 - complications; Gestational diabetes; Glucose; Humans; Hyperglycemia; Hypoglycemia; Infusion pumps; Insulin resistance; Pancreatitis; Pancreatogenic; Pathophysiology; Patients; Perioperative; Perioperative Period; Severe acute respiratory syndrome coronavirus 2; Surgery; Transplants & implants; Type 1 diabetes; Perioperative; Gestational diabetes; Glucose; Type 1 diabetes; Diabetes mellitus; Pancreatogenic
• ISSN: 0952-8180; 1873-4529
• DOI: 10.1016/j.jclinane.2022.111012

Diabetes mellitus is often treated as a uniform disease in the perioperative period. Type 2 diabetes is most commonly encountered, and only a minority of surgical patients have been diagnosed with another type of diabetes. Patients with a specific type of diabetes can be particularly prone to perioperative glycaemic dysregulation. In addition, certain type-related features and pitfalls should be taken into account in the operating theatre. In this narrative review, we discuss characteristics of types of diabetes other than type 2 diabetes relevant to the anaesthetist, based on available literature and data from our clinic. •Most perioperative diabetes guidelines pay little attention to the type of diabetes.•Certain types of diabetes can render patients prone to perioperative dysglycaemia.•Type 1 and other types of diabetes have specific concerns for the anaesthetist.