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Comparison between sucrose and maltodextrin oral loading 2 hours preoperatively on insulin levels, blood glucose and insulin resistance in The Enhanced Recovery After Caesarean Surgery (ERACS) Procedure
Buanama A.A.
Gazzetta Medica Italiana Archivio Per Le Scienze Mediche
Q4Abstract
BACKGROUND: Enhanced Recovery After Cesarean Surgery (ERACS) aims to reduce surgical stress and boost postoperative recovery through multifaceted approaches, including preoperative carbohydrate loading like sucrose and maltodextrin. This study compares the effects of sucrose and maltodextrin on insulin levels, blood glucose, and insulin resistance in elective cesarean section patients.METHODS: This randomized single-blind clinical experiment involved thirty pregnant women who had elective cesarean sections. Participants were divided into two groups: 15 peoples received 50 g of sucrose and 15 peoples received 50 g of maltodextrin orally 2 hours before surgery. Insulin and blood glucose levels were measured preoperatively, 2 hours and 6 hours postoperatively.RESULTS: The sucrose group showed a significantly higher increase in blood glucose 2 hours postoperatively than the maltodextrin group. Meanwhile, the insulin resistance value in the maltodextrin group was significantly lower at 6 hours after surgery compared to the sucrose group.CONCLUSIONS: Both sucrose and maltodextrin can be used effectively in ERACS procedures to reduce surgical stress and improve recovery. However, sucrose leads to a more significant insulin and blood glucose response and maltodextrin may reduce a more insulin resistance response.