Impact of consistent measurement and management of blood glucose on clinical outcomes in patients with type 2 diabetes undergoing coronary artery bypass surgery

This study aim was to evaluating and measuring impact, management and consistent control of glucose on clinical outcomes of patients with diabetes II who undergoing bypass coronary artery surgery. During a year diabetic patients whom undergoing elective coronary artery bypass surgery in Madani educational heart center in Tabriz, according our inclusion criteria that having satisfied were enrolled in this study. And then randomly were divided to one of the study or control groups. And matched together according to sex, age and NYHA class. The number of sample size based on other studies has been determined 70. Before the surgery all of the patients in both groups were inform about the benefits of this research and then if they signed the consent form will continue in the study. Patients were assured that any time they can come out of research.The intervention consisted of an insulin protocol; for the control group hospital routine insulin protocol were performed and for the case group insulin protocol were done.Inclusion criteria were; Patients who underwent elective coronary artery bypass surgery and the first time (with on pump or off pump) , who the day before surgery were be hospitalized; Patients who have type 2 diabetes diagnosed during hospitalization or admission to the hospital by blood sugar test, blood sugar after a meal and a diagnosis of type 2 diabetes after glucose tolerance ; patients who did not have other heart disease exception of coronary artery disease; patients with a creatinine level less than 2, patients who did not have kidney disease; not having another heart attack or another heart surgery at same time; no previous heart surgery; positive history of past severe disease; on-emergency surgery; non-cytotoxic drugs and radiation use.Exiclusion criteria were; the operation of the on pump switch to off pump; addition of other surgery such as surgery aneurysmectomy LV; performed endarterctomy on the involved vessels; unwillingness to continuing research, patient died during the study.The number of sample size based on other studies has been determined 70. Before the surgery all of the patients in both groups were inform about the benefits of this research and then if they signed the consent form will continue in the study. Patients were assured that any time they can come out of research. Data collection tools were questioner and new insulin revised protocol for intravenous infusion of insulin and subcutaneous injection of insulin before , during and after surgery. The aim of this study is to control patients blood glucose levels.

Tehran University of Medical Sciences and Shahid Madani Cardiovascular Research Center of Tabriz