Die richtige Ernährung bei Diabetes - Visite - NDR
Insgesamt Patienten, 84 insulinpflichtige, 87 nichtinsulinpflichtige und Nicht-Diabetiker, wurden in diese Studie miteinbezogen. Es zeigten sich keine signifikanten Unterschiede im Vergleich von beiden Diabetes-Gruppen. Die Studie stellt dar, dass Patienten mit insulinpflichtigem Typ 2 Diabetes mellitus nach Herzbypassoperationen keine höhere Rate an postoperativen Komplikationen haben. Jedoch Paste bei Diabetes mellitus Typ 2 im Vergleich zu Nicht-Diabetiker eine deutlich höhere Rate an postoperativen Komplikationen wie Mortalität, renale und respiratorische Insuffizienz und Wundinfektionen, bieten.
This study was done to evaluate the outcome of type 2 diabetic patients after coronary artery bypass grafting. A total of patients, 84 insulin-dependent, 87 non-insulin-dependent and non-diabetic patients, were included in this study. There was no significant difference found in the comparison of both diabetic groups. Our study shows that patients with insulin-dependent type 2 diabetes mellitus who had coronary artery bypass grafting have no significant higher rate of postoperative complications, but diabetic patients in comparison with non-diabetic patients had a higher rate of postoperative complications like mortality, renal and respiratory insufficiency and wound infections.
Citations 0. References 6. This research hasn't been cited in any other publications. Diabetes and cardiovascular disease: The Framingham study. JAMA William B. Based on 20 years of surveillance of the Framingham cohort relating subsequent cardiovascular events to prior evidence of diabetes, a twofold to threefold increased risk of clinical atherosclerotic disease was reported.
The relative impact was greatest for intermittent claudication IC and congestive heart failure CHF and least for coronary heart disease CHDwhich was, nevertheless, on an absolute scale the chief sequela. The relative impact was substantially greater for women than for Paste bei Diabetes mellitus Typ 2. For each of the cardiovascular diseases CVDmorbidity and mortality were higher for diabetic women than for nondiabetic men.
Cardiovascular mortality was actually about as great for diabetic women as for diabetic men. Full-text available. J Herlitz Gunnar Brandrup Wognsen.
To describe mortality and morbidity during a 2-year period after coronary artery bypass grafting CABG among diabetic and nondiabetic patients. All the patients in western Sweden in whom CABG was undertaken between June and June and in whom concomitant procedures were not performed were registered prospectively. The study was a prospective follow-up. Diabetic patients more frequently required reoperation and had a higher incidence of peri- and postoperative neurological complications.
Mortality during the 30 days after CABG was 6. Mortality between day 30 and 2 years was 7. During 2 years of follow-up, a history of diabetes appeared to be a significant independent predictor of death. Whereas the development of MI after discharge from the hospital did not significantly differ between the two groups; 6.
Diabetic patients have a mortality rate during the 2-year period after CABG that is about twice that of nondiabetic patients during both the early and late phase after the operation. Continuous intravenous insulin infusion reduces the incidence of deep sternal wound infection in diabetic patients after cardiac surgical procedures. Diabetes mellitus is a risk factor for deep sternal wound infection after open heart surgical procedures.
We previously showed that elevated postoperative blood glucose levels are a predictor of deep sternal wound infection in diabetic patients. Therefore, we hypothesized that aggressive intravenous pharmacologic control of postoperative blood glucose levels would reduce the incidence of deep sternal wound infection. In a prospective study of 2, consecutive diabetic patients who underwent open heart surgical procedures between andperioperative blood glucose levels were recorded every 1 to 2 hours.
There were no differences between these groups with respect to age, sex, procedure, bypass time, antibiotic prophylaxis, or skin preparation methods. Compared with subcutaneous insulin injections, continuous intravenous insulin infusion induced a significant reduction in perioperative blood glucose levels, which Paste bei Diabetes mellitus Typ 2 to a significant reduction in the incidence of deep sternal wound infection in the continuous intravenous insulin infusion group 0.
Use of perioperative continuous intravenous insulin infusion in diabetic patients undergoing open heart surgical procedures significantly reduces major infectious morbidity and its associated socioeconomic costs. Previous studies have examined the relation of endogenous estrogen levels or estrogen replacement therapy to the risk of poor cognitive function, but results have been inconclusive.
Bone mineral density has been proposed as a marker for cumulative estrogen exposure. The authors studied the relation of bone mineral density to the prevalence of verbal memory impairment among 4, elderly subjects in the Third National Health and Nutrition Examination Survey Bone mineral density was measured in five regions of the proximal femur Paste bei Diabetes mellitus Typ 2 dual-energy x-ray absorptiometry.
Verbal memory was assessed using delayed recall of a three-item word list and a six-item story. The prevalence of verbal memory Paste bei Diabetes mellitus Typ 2 for each increasing bone mineral density quintile at the femoral neck was 8. With adjustment for age, sex, and other covariates, the prevalence ratios of verbal memory impairment for each increased bone mineral density quintile were 1.
These results suggest that bone mineral density in the elderly is associated with verbal memory impairment. The mechanisms underlying this relation are not understood, but cumulative exposure to estrogen may play a role. Coronary artery bypass grafting in type II diabetic patients: A comparison between insulin-dependent and non-insulin-dependent patients at short- and mid-term follow-up.
Diabetes is a well-established risk factor for coronary artery disease, and it is associated with an increased rate of early and late adverse events after myocardial revascularization by coronary artery bypass grafting.
A prospective follow-up study was done to evaluate the short-term and mid-term outcomes of type II Paste bei Diabetes mellitus Typ 2 patients who had coronary artery bypass grafting at our institution between and May A total of Paste bei Diabetes mellitus Typ 2, insulin-dependent diabetic patients group I and non-insulin-dependent diabetic patients group IImet the inclusion criteria of the study and were included in the Paste bei Diabetes mellitus Typ 2 follow-up study.
The characteristics of the patients of the two groups were similar for baseline clinical angiographic and operative characteristics. In particular, no significant differences in cardiopulmonary bypass and aortic cross-clamping times were noted between the two groups.
The number grafts per patient was similar between the two groups. There were no in-hospital deaths, but postoperative complications were different among the two series. The cumulative number of complications was in Paste bei Diabetes mellitus Typ 2 I and 69 in group II, and the mean number of complications per patient was 4. The mean length of stay in the intensive care unit and for total hospitalization were longer in group I than group II 4.
Our data show that patients with insulin-dependent type II diabetes who had coronary artery bypass grafting have a significantly higher rate of major postoperative complications with an extremely unfavorable short- and long-term prognosis.
Diabetic patients on insulin treatment should be considered high-risk candidates for coronary artery bypass grafting and require intense perioperative and long-term monitoring. Further studies will be necessary to investigate whether such conclusions may be appropriate for newer surgical strategies such as off-pump operation. Oct Lancet. Chronic obstructive pulmonary disease COPD continues to be an important cause of morbidity, mortality, and health-care costs worldwide. It is a global health issue, with cigarette smoking being an important risk factor universally; other factors, such as exposure to indoor and outdoor air pollution, occupational hazards, and infections, are also important.
As the global population ages, the burden of COPD will increase in years to come. Prevalence estimates of the disorder show considerable variability across populations, suggesting that risk factors can affect populations differently. Other advances in our understanding of COPD are increased recognition of the importance of comorbid disease, identification of different COPD phenotypes, and understanding how factors other than lung function affect outcome in Paste bei Diabetes mellitus Typ 2 patients.
The challenge we will all face in the next few years will be implementation of cost-effective prevention and management strategies to stem the tide of this disease and its cost. Welcome back! Please log in. Password Forgot password? Keep me Paste bei Diabetes mellitus Typ 2 in. Log in. Continue with LinkedIn. Continue with Google. No account? Sign up.