Insulin Resistance, Glycemia and Cortisol Levels in Surgical Patients who Had Preoperative Caloric Load with Amino Acids

Jovanovski-Srceva, Marija; Biljana Kuzmanovska; Kartalov, Andrijan; Mirjana Shosholcheva; Temelkovska-Stevanoska, Marina; Aleksandra Gavrilovska; Stavridis, Sotir; Spirovski, Zoran; Borislav Kondov; Kokareva, Anita; Todorov, Risto; Spirovska, Tatjana

doi:10.1515/prilozi-2015-0079

Insulin Resistance, Glycemia and Cortisol Levels in Surgical Patients who Had Preoperative Caloric Load with Amino Acids

Journal

Prilozi (Makedonska akademija na naukite i umetnostite. Oddelenie za medicinski nauki)

Date Issued

2015

Author(s)

Spirovska, Tatjana

DOI

10.1515/prilozi-2015-0079

Abstract

Surgical stress response, results in elevated levels of anti-insulin hormones and reduced insulin secretion. This hormonal state may be detrimental for surgical patients due to the presence of insulin resistance and hyperglycemia. Additionally, pre-operative fasting favors this conditions. The aim of this study is to analyze the impact of pre-operative caloric load, with 440kJ from amino acid infusions on the levels of glucose, cortisol and insulin resistance in surgical patients.