What to do for surgery

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Regular Member

Date Joined Mar 2006
Total Posts : 486
   Posted 4/18/2008 2:34 PM (GMT -6)   
I will be having major surgery in less than 2 weeks.  I know that they use some kind of Detrose/glucose saline drip and that this will cause my bs to skyrocket.  What can I tell the hospital staff that would help to minimize this issue?
Last January I had a minor procedure and they used a Dextrose drip even though they knew I was diabetic.  After the procedure I asked them about taking my meds and they said not to because they didn't want my bs to drop too low.  Before the procedure I had a bs of 80, after it was 375!  I took my meds anyway as soon as I got home (which was later that day).
I am worried about this surgery because I will be in the hospital for several days and will have no control over my meds. 
Any suggestions?

Veteran Member

Date Joined Apr 2004
Total Posts : 6056
   Posted 4/18/2008 4:40 PM (GMT -6)   
Make sure that the surgeon is aware of your diabetes and whatever meds you take. Also, if you pre-register at the hospital ask them if you should bring your meds with you. Different hospitals have different policies about regular medications. Check with the nurse at your surgeon's office about how they handle ongoing medical conditions thru surgery and the hospital stay.

Also, don't worry about the Dextrose 5% solution or your blood sugar right after surgery. It's not just the solution that caused the rise in your blood glucose. There are several uncontrollable responses that your body makes in conjunction with the "assault" of surgery. Your system goes thru pre-op anxiety and stress, the physical stress of the cutting and blood loss as well as the pain associated with post-op. These things will all raise your blood sugar just in case you decide to "run away". (It's the old fight or flight syndrome.) Please don't try to regulate your blood sugar in the hospital. Let the professionals work on that. They do lots of surgery on diabetic patients and they know more about your blood glucose response to surgery than we do.

The temporary rise in numbers as you work your way through healing and getting home is not a large problem in the overall picture of things. You may want ask if your blood sugars are ok while hospitalized but don't be overly concerned if they are a bit out of line. This is normal after surgery.
~ Jeannie, Forum Moderator/Diabetes & Fibromyalgia
I know God will not give me anything I can't handle. I just wish that He didn't trust me so much. ~Mother Teresa

"People are like stained glass windows: They sparkle and shine when the sun's out, but when the darkness sets in, their true beauty is revealed only if there is light within."- Elizabeth Kubler-Ross

Regular Member

Date Joined Mar 2006
Total Posts : 486
   Posted 4/18/2008 4:55 PM (GMT -6)   
Thank you Jeannie,

I was quite concerned about it as it was a shock to see my numbers so high after a minor procedure. I just wasn't sure what to expect. I'm certainly going to print your response and take it with me for the pre-op. The surgeon does know my meds and conditions, so I should be okay there. I just wasn't sure what to expect after a major operation. I certainly didn't want to see a prolonged high because of the Dextrose solution.

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