[Carbohydrate metabolism in patients with diabetes mellitus under epidural anesthesia].

A certain effect of surgical intervention on glucose, insulin and cortisol content has been shown in patients without concomitant endocrine pathology operated on for urological and gynecological diseases under epidural anesthesia. At the same time rational manifestations of the adaptation mechanisms of carbohydrate metabolism were retained. The use of epidural anesthesia has demonstrated the lack of carbohydrate hypermetabolism excess in the intra- and postoperative periods in patients with concomitant diabetes mellitus. This makes the epidural anesthesia a method of choice during surgery in patients with concomitant diabetes mellitus.