People with diabetes who are subjected to joint replacement have a higher risk of increased blood sugar after surgery, increasing their chances of developing infections and other complications, suggests a new study.
Insulin-dependent diabetics were more than five times more likely than those without a history of hyperglycemia or high blood sugar after the operation, researchers said, including Bradford Waddell of the US Special Surgery Hospice (HSS).
For the study, presented at the annual meeting of the American Academy of Orthopedic Surgeons in 2019, the team reviewed the medical chart of 773 men and women who had undergone all the replacement of the hip or knee between 2011 and 2016.
Of them, 437 had insulin-dependent diabetes, while 336 did not have that condition. They covered patients with diabetes diagnosis whose blood sugar levels were controlled by hormonal insulin and compared them with diabetics who did not need insulin.
Patients with a higher blood glucose level over the past three months – measured with hemoglobin A1c – were more likely to experience postoperative hyperglycemia, no matter what group they were.
Hemoglobin A1c above 6.59 for insulin-dependent diabetics and 6.6 without this condition was associated with elevated risk for postoperative hyperglycemia. (IANS)