Introduction: In this study, we aimed to compare the early postoperative
period results of type 2 diabetes patients taking oral antidiabetics or
insulin medications, with microalbuminuria and normal creatinine levels
after coronary artery bypass. Materials and methods: Eighty patients
with type 2 diabetes and taking oral antidiabetics or receiving insulin
medication all with normal creatinine levels with microalbuminuria were
included in this study. Preoperative creatinine values of the patients,
albumin levels in spot urine, creatinine levels on the postoperative 3rd
day, duration of ventilation, amount of drainage, length of stay in the
intensive care unit, length of stay in the hospital, mediastinitis and
mortality rates were recorded. Results: A statistically significant
increase in creatinine was found in both taking oral antidiabetics type
2 diabetes and insulin medication patient groups with microalbuminuria.
When the two groups were compared with each other, increase in
creatinine levels of the patients using insulin was higher than the
patients taking oral antidiabetics, and was statistically significant.
Conclusion: According to the result of our study it can be suggested
that postoperative creatinine elevation is observed in patients with
type 2 diabetes mellitus with microalbuminuria and with normal
creatinine levels, either having insulin medication or not. The
elevation is higher in patients having insulin medication while other
results are similar, except for impaired renal function. Keywords: Type
2 diabetes mellitus, insulin, microalbuminuria, coronary artery bypass.
Neuropsychological dynamics in patients with type 2 diabetes mellitus undergone coronary artery bypass grafting
