With the increase in the number of diabetic patients, there has been a corresponding increase in opportunities for anesthetic management of diabetic patients. Microangiopathy and macroangiopathy related to diabetes mellitus are particular concerns.The presence of diabetic retinopathy indicates the presence of impaired cerebral autoregulation.Diabetic patients are more likely to present with difficult laryngoscope and intubation because of stiff joint syndrome.Automatic neuropathy may induce a delay in gastric emptying and disturbance of usual respiratory response to hypoxemia when using sedative agents in the preoperative period.Preoperative adequate glycemic control in diabetic patients may improve perioperative outcomes.
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