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The consequences of long-term diabetes – cardiovascular diseases, autonomic and peripheral neuropathy, stiff joint syndrome and renal insufficiency as well as the associations of type 2 diabetes of obesity and lack of exercise – demand understanding and skill from the anaesthetist. A good preoperative evaluation of long-term effects such as coronary heart disease, hypertension and renal insufficiency plus the risk of difficult intubation and pulmonary aspiration are of major importance. 

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