PATIENTS FOLLOWING THE CABG SURGERY

In this study we analyzed patients glucose levels taken before and after coronary artery bypass surgery. Th e data are taken from University of Sarajevo Clinics Centre- medical documentation of Heart Center from January st, to October st, . Th erefore, the entire study is done retrospectively. Th e patients considered in this analysis were divided into three groups. Th e patients in the fi rst group were treated with peroral an-tidiabetics. Th e second group included patients treated with insulin while the third group consisted of patients without diabetes and acted as control group. All the patients had in-creased BMI. In the fi rst two groups glucose levels were elevated before the surgery. Data analysis showed that three patients from the fi rst group changed from peroral antidiabet-ics to insulin during postoperative period, and they were dismissed from hospital with this therapy. In the control group, peroral antidiabetis were introduced in four patients. Th e study results show that all the three groups have had high glycaemia on the fi rst post-operative day. Th is may be caused by a number of reasons: inadequate pre-operative an-tidiabetic therapy, the impact of stress during surgery, inadequate pre-operative treatment of glycaemia or avoidance of the proscribed therapy by patients themselves. Stress during operation and administration of several medications after operation may also cause in-creased insulin resistance and distort glycaemia control