Diabetes mellitus and the risk of aspiration – Safe and (ultra)sound?

[...]performing a routine preoperative gastric ultrasound examination in patients with at least one risk factor for pulmonary aspiration has been shown to strongly influence both the responsible anesthetist's risk assessment and consequently patient management [6]. [...]crucial patient data such as definition and type of diabetes, disease progression, medical history, and individual medication (including oral antidiabetics, insulin, and dosage) as well as information on disease control are unavailable. [...]a history of diabetes mellitus is likely to lead to gastroparesis in some patients, resulting in a higher prevalence of high-risk stomachs even after adhering to fasting guidelines. [...]it is prudent to exercise extra caution during the preoperative evaluation of patients with diabetes mellitus. [...]this literature review and meta-analysis offers additional evidence that we must be conscious of the potential risk of regurgitation and pulmonary aspiration in diabetic patients.