Clinics in podiatric medicine and surgery
-
The increasing pervasiveness of diabetes mellitus on a global stage has been well documented. Many groundbreaking studies have detailed the consequences of inadequate glycemic control, but only recently have data supported evidence that demonstrates benefits in the acute setting. ⋯ This article discusses glycemic control, with special emphasis on the perioperative patient. Emerging therapeutic treatments and less frequently encountered protocols such as insulin pump management and insulin infusion are considered.
-
Advanced thought and planning are required when preparing for podiatric surgery. In addition to appropriate procedure selection and follow-up, perioperative management has a key role in patient and physician satisfaction. Neglect of this aspect of podiatric care can also be a source of malpractice. This article analyzes many of the common medical treatments currently employed and makes recommendations for treatment before, during, and after surgery.