Evaluation of early postoperative period results of patients with type 2 diabetes taking oral anti-diabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass.

Abstract

Introduction: In this study, we aimed to compare the early postoperative period results of type 2 diabetes patients taking oral antidiabetics or insulin medications, with microalbuminuria and normal creatinine levels after coronary artery bypass. Materials and methods: Eighty patients with type 2 diabetes and taking oral antidiabetics or receiving insulin medication all with normal creatinine levels with microalbuminuria were included in this study. Preoperative creatinine values of the patients, albumin levels in spot urine, creatinine levels on the postoperative 3rd day, duration of ventilation, amount of drainage, length of stay in the intensive care unit, length of stay in the hospital, mediastinitis and mortality rates were recorded. Results: A statistically significant increase in creatinine was found in both taking oral antidiabetics type 2 diabetes and insulin medication patient groups with microalbuminuria. When the two groups were compared with each other, increase in creatinine levels of the patients using insulin was higher than the patients taking oral antidiabetics, and was statistically significant. Conclusion: According to the result of our study it can be suggested that postoperative creatinine elevation is observed in patients with type 2 diabetes mellitus with microalbuminuria and with normal creatinine levels, either having insulin medication or not. The elevation is higher in patients having insulin medication while other results are similar, except for impaired renal function. Keywords: Type 2 diabetes mellitus, insulin, microalbuminuria, coronary artery bypass.

Meta-Analysis of the Effect of Nursing Intervention on Children with Type 2 Diabetes

“…Yu (2016) [22] 50 50 28/22 27/23 10:5 ± 0:9 10:6 ± 1:1 (1), ( 2), ( 3), ( 4), ( 5), (6) 3.3.2. Effect of Nursing Intervention on 2hPG.…”

“…In 2015, it was reported that 415 million people aged 20-79 have diabetes, which is expected to reach 642 million by 2040 [3,4]. Globally, the number of diabetes patients has quadrupled in the past few years, and 90% of diabetes patients are type 2 diabetes [5], which is mainly caused by insulin resistance due to various reasons [6]. Due to the change of dietary structure and the reduction of physical activity, obese children are gradually increasing, and the number of children and adolescents with type 2 diabetes is raising year after year [7], although type 1 diabetes is mostly in children.…”