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Re: [IP] How my surgery went with my pump



Yessi
 I am proud of you & the way you handled the surgery. I am over 40 years as a T1
and the only surgery I have had was a cataract and that was really quick. I hope
to put off any other as long as I can. :-)

Oliver

Sent from outer space

> On Mar 5, 2014, at 7:23 PM, Yessi Pal <email @ redacted> wrote:
> 
> The suggestions I got here on how to handle my pump during surgery were
> great!  Thank you again!  Here is my experience with getting a hysterectomy
> and a fair amount of reconstructive work done on my bladder.
> 
> A couple weeks before surgery, my body decided insulin was overrated and I
> found myself using less and less insulin.  By the day of my surgery my
> usual 24 hour basal rate had gone from 25 units to 9.  They let me drink
> apple juice the morning of my surgery if needed.  Over a cup of juice and
> my blood sugar was lower than when I woke up!  Maybe this was my body's way
> of reacting to stress.
> 
> Diabetics are first in line for surgery so I was at the hospital at
> 6:30am.  The anesthesiologist told me to just suspend my pump during
> surgery.  The nurse said they routinely check diabetic's blood sugars every
> hour or so.  I told her to check every half hour and made sure they all
> knew that I tended to go low very quickly.  They must have taken my advice
> to heart because my poor fingers were all bruised when I woke up.  My BG
> went down to 72 at it's lowest during the procedure and they had to give me
> some glucose in my IV.  If you can use your own meter in the hospital
> definitely do it!  The meter they used was the size of a paperback and used
> about 1/4c of blood to test, ouch!
> 
> As soon as I woke up in recovery I turned my pump back on.  The staff
> allowed my to use my own meter and control my own insulin use at my
> discretion.  I told them what my BG readings were and what insulin I took
> so they could enter it on my chart.  I also taped a small, very simple, set
> of instructions to the back of my pump telling how to bolus and suspend.  I
> showed my pump and the instructions to every new nurse while I stayed in
> the hospital.  They all appreciated it but I was able to handle everything
> on my own.
> 
> Everyone on staff was very supportive and helpful with my pump.  Now I am
> back home and recovering.  My blood sugars are whacked out again and I'm
> using a huge amount of insulin, but I test often and I'll get through it.
> This was my first surgery and I'm definitely no expert.  Just wanted to
> pass on my experiences.  :)
> 
> Yessi
> .
> Follow us at https://www.twitter.com/insulinpumpers
> Make a long URL short at http://type1.org
.
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