@article{oai:mdu.repo.nii.ac.jp:00001156, author = {林, 英司 and 山岡, 稔 and 竹内, 友康 and 中村, 勝 and 廣瀬, 伊佐夫}, issue = {2}, journal = {松本歯学}, month = {Aug}, note = {application/pdf, Types of diabetes mellitus less common than the main three (insulin-dependent, non-insulin-dependent, and malnutrition-related) show different diabetic conditions depending on the nature of the original diseases, thus complicating the control of these types for surgery. We report the successful management of two cases of less common types of diabetes, in which the administration of insulin was required for diabetic control prior to and during dental surgery. In two cases of diabetes mellitus, one developing after hyperthyoidism and the other due to total resection of the pancreas in pancreatic carcinoma, careful determination of the insulin dosage was necessary due to high sensitivity to the drug. In the case of total pacreatectomy in particular, there is a risk of developing hypoglycemia due to the wide daily fluctuation in glucose level. For such surgical patients care is necessary to avoid hypoglycemic seizures, and to prevent sepesis and local infection by administering sufficient antibiotics, in order to minimize surgical trauma. Careful observation of the patient's progress must also be exercised.}, pages = {210--216}, title = {インスリン投与下で外科的処置を行った糖尿病患者の管理経験 : その他の糖尿病の2症例}, volume = {15}, year = {1989} }