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Diabetes mellitus is a disorder that causes increased (and reduced) blood sugar

concentrations and leads to complications with nervous, vascular, and immune


system.
People with diabetes mellitus, or who have high blood glucose levels even without
diagnosing diabetes, need cautious planning to avoid trouble associated with poorly

regulated blood glucose concentrations. However, attempts to control diabetes and


improve blood glucose concentrations can have beneficial effects on reducing risks
with surgery.

Increased Blood Sugar


Diabetes increases the risk of joint replacement surgery. Besides, the risk is also
associated with how well (or poorly) the blood glucose concentrations are regulated
in your body at the time of surgery. Having diagnosed with diabetes does not
necessarily eliminate the chances of getting joint replacement. It simply conveys
that the
risks of surgery might be slightly higher and other possible measures might be
required to mitigate the increased risk of complications.

Overall, surgical results of individuals with diabetes are much worse than those
without it. Studies have shown an enhanced risk of orthopedic surgery, including
spine
surgery, foot surgery, and surgery of fractures. Other disciplines of surgery also
have exemplars of diabetes as a risk factor for possible complications. Again,
these findings correlate strongly with how well or badly the blood sugar levels can
be controlled with the seriousness of the situation.

Impacts
There are plenty of ways in which people with diabetes are affected when they
undergo joint replacement surgery. Diabetes raises the risk of a multitude of
problems,
not just one in particular. Some of the most common ones are:

Increased risk of infection- As per orthopaedic doctors in Indore, one of the most
critical aspects of joint replacement surgery is the risk of infection. When joint
replacement infection occurs, subsequent surgery is always needed and quite often
the implants require withdrawal to heal the infection.

Problems in wound healing- Curing the surgical incision appears straightforward,


but in individuals with diabetes�persistent drainage, wound necrosis, and non-
healing
incisions can all persist. An unhealed surgical incision may cause health problems
in individuals with joint replacements.

Higher likelihood of medical problems- Many medical problems may be more probable
in individuals with diabetes, including pneumonia, urinary tract infections, and
lung embolism.
Higher risk of mortality- This is worrisome while there is a less probability of
mortality involved with joint replacement, but it�s not zero. Individuals with poor

diabetes control are exposed to greater risk of mortality with elective surgery
such as joint replacement.

A word from expert


This sounds like a lot of negative news, so let's finish with the positive aspects.
Every year, thousands of individuals with diabetes undergo successful joint
replacement surgery that transforms their lives. While the risk of surgical
complications may increase, these risks can be managed. Controlling blood sugar
concentrations is considered to be the most significant factor in handling these
risks, especially at the time of surgery. People with diabetes should not be afraid
of joint replacement, but should work with their surgeons to optimize their control
of blood sugar to minimize the risks involved in joint replacement surgery.

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