PERIOPERATIVE MANAGEMENT OF PATIENT WITH COEXISTING GRAVE’S DISEASE AND DIABETES MELLITUS TYPE I

*Dr Sushama Raghunath Tandale, Dr Hemlata Iyer, Dr Sarika Wadhwa

ABSTRACT

Grave’s disease and type I diabetes mellitus are clinical disorder of autoimmune origin. Both these diseases shares similarity in their clinical presentation. Their simultaneous occurrence can complicate diagnosis as well as management of each other. Hence anesthetist managing the patients with hyperthyroidism should be aware of possible coexistence of type I diabetes mellitus. Preoperative optimization of hyperthyroidism and hyperglycemia is the key for uneventful intraoperative course.

Keywords: hyperthyroidism and hyperglycemia.