Volume : 2, Issue : 11, NOV 2016

TIGHT BLOOD GLUCOSE CONTROLING IN PATIENTS WITH TYPE 2 DIABETES UNDERGOING CORONARY ARTERY BYPASS SURGERY IN TABRIZ –IRAN.

Pishnamaz ahari N, Rahnavard Z, Yaghoubi A, Dehgani A, Imani Sh

Abstract

BACKGROUND

Diabete mellitus is the most common chronic disease in the worldwide.at least 20% of diabetic patients have experienced one of cardiovascular events strict control of blood glucose, directly and indirectly ,has important role in prevention of cardiovascular disease. This study aimed to evaluated tight blood glucose control in patients with type 2 diabetes undergoing CABG.

Methods

It is a clinical trial study with the control group.Total number of participating samples in this study was 70 .For diabetic and nondiabetic patients whom  candidates for CABG,immediately after hospitalization in the surgical ward,blood samples was taken from all .If the blood sugar was high, patient by randomally  allocation in either case or control group by using Rand.Lst software version 1.2.New protocol is implemented in three stages, before,during and after surgery.Measuring blood glucose, before surgery is every 6 hours and during surgery in the case of CABG by pump is every one hour and in CABG without pump is every two hours. In intensive care unit if the patient was fast, it was measured every 2 hours. Also After surgery, in surgery ward in the case of oral feeding it was measured every 6 hours.

 

Results

Average blood glucose during surgery in two case and control group was significant. Also average blood glucose resulted from 19 times measurement in first 24 hour and (19 times measurement) in second 24 hour and four times measurement in third 24 hours in intensive unit generally was decreased and mean difference of glucose in two group in each 3  mentioned times slot statically was significant.

Diccution

tight blood glucose  measurement and management  in patients with type 2 diabetes CABG  had positive results in order to decrease blood glucose after surgery.

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