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A glucose lowering drug named Metformin is either continued or stopped on the morning of surgery and the blood glucose and serum lactate levels are measured.

Phase 4
Conditions
Health Condition 1: O- Medical and SurgicalHealth Condition 2: E119- Type 2 diabetes mellitus without complications
Registration Number
CTRI/2022/10/046706
Lead Sponsor
D Ragha Renuka
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Diabetes Mellitus for more than 6 months duration using Metformin as a single agent, ASA II TO III, Serum creatinine levels < 1.6, posted for minor surgical procedures( both general and regional anaesthesia)

Exclusion Criteria

HbA1c >8%, patients with chronic or acute renal insufficiency, patients on insulin therapy, patients with liver insufficiency, patients using corticosteroids.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To study and compare changes in blood glucose levels and serum lactate levels at different <br/ ><br>time intervals in diabetic patients undergoing elective minor surgeries under general or regional <br/ ><br>anaesthesia, with or without continuation of morning dose of metformin.Timepoint: Baseline, 1 hour after incision, 2 hours postoperative and 24 hours postoperative values
Secondary Outcome Measures
NameTimeMethod
To compare effect of continuing metformin in diabetic patients undergoing minor surgery <br/ ><br>on perioperative blood glucose in patients receiving general anaesthesia versus regional <br/ ><br>anaesthesia. <br/ ><br>2) To compare effect of continuing Metformin in diabetic patients undergoing minor surgery <br/ ><br>on perioperative lactate levels in patients receiving general anaesthesia versus regional <br/ ><br>anaesthesia. <br/ ><br>3) To study the requirement and amount of intraoperative insulin if any.Timepoint: Baseline, 1 hour after incision, 2 hours postoperative and 24 hours postoperative values
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