Carbohydrate Intolerance, Diabetes Mellitus Type 2
Conditions
Keywords
Carbohydrate Intolerance, Diabetes Mellitus, Diabetes Mellitus, Type 2, Carbohydrate loading
Brief summary
The purpose of this study is to investigate the safety of preoperative carbohydrate loading in diabetic patients undergoing general anesthesia
Interventions
DIETARY_SUPPLEMENTnoNPO
Patients with diabetes mellitus type 2 who are planned to receive a carbohydrate beverage (400 ml (12.8% carbohydrates, 50 kcal/100 ml; Nucare NONPO Ⓡ , Daesang Wellife, Korea) before the operation and up to 2 hours before the induction of anesthesia outside this clinical study setting will be asked to be enrolled into the study. Before induction of general anesthesia, all patients were evaluated the gastric volume under ultrasonography.
Sponsors
Seoul National University Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Inclusion criteria
* Elective surgery * Type 2 diabetes mellitus on oral hypoglycemic agents * American Society of Anesthesiologists physical status 2 or 3 * Ages 18 or more * Approve to participate
Exclusion criteria
* Ambulatory surgery * BMI \>35 * History of gastric or esophagus surgery * History of GERD, dyspepesia or * Anticipated difficult intubation (previous III or more Cormack and Lehane's grade, Mallamgrade, Mallampati scpati scoreore III or moreIII or more, propro/retro/retrognathism, gnathism, thyromental distance\<6.5cm, thyromental distance\<6.5cm, limited mouth openinglimited mouth opening)
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Incidence of gastric ultrasonography score as low risk (grade 0 or 1) | 30 minutes after intubation | Ultrasound assessment of gastric volume by gastroscopic examination. |
Secondary
| Measure | Time frame |
|---|---|
| Gastric volume | 30 minutes after intubation |
| Blood sugar test | 30 minutes after intubation and 30 minutes after extubation |
| The incidence of insulin bolus injection | during operation |
| Satisfaction scale of patients | up to 30 minutes after extubation |
| The incidence of nausea and vomiting | up to 30 minutes after extubation |
Countries
South Korea
Outcome results
None listed