AANA Journal course: update for nurse anesthetists--diabetes mellitus: overview and current concepts in anesthetic management.

Diabetes mellitus is one of the more common endocrine disorders encountered in the anesthetic management of surgical and obstetrical patients. These patients often have complications associated with the disease process which may increase perioperative morbidity and mortality. Optimal management depends upon an understanding of the disease process as well as special considerations unique to the diabetic. This AANA Journal course reviews the pathophysiology of diabetes and common complications associated with the disease. Perioperative considerations include assessment and metabolic control during the time of surgical stress. In concludes with acute complications and their recognition and management.