I wasn’t too pleased when the preop nurse called to talk about my husband’s upcoming surgery. He was at work, so I spent a few hours throughout the day talking with her. Their protocol calls for no basal the morning of surgery and no metformin. I questioned this because all I’ve ever read is to keep our numbers good to promote good healing, yet they wanted him to be running high. …
(I’ve been wanting to tell this story for over a week now … so, here goes.)
… Then, I was reminded, by an outside incident involving another person, why hospitals do this and I was humbled by the experience. My husband and I were at Church about 18 hours before surgery and about halfway into Mass, the fella one person away from me fell forward. His wife and the person to his other side and the guy behind, caught him. I noticed his wife pulled out a dex tab and gave it to him.
This was a special event and we were dressed up. I had my Dexcom and had my husband put a half dozen hard candies in his suit pocket - oddly, I tend to run low during Mass. I was running late and didn’t want to go back upstairs to change purses and the purse my D-bag was in, wasn’t the right color or style; we were packed for travel (about 100 miles away for surgery). Argh. Lesson learned. I thought I could go the 90 minutes without it, as we were coming home to change into travel clothes right after Mass. I could have. But, the fella next to me could have benefited from its contents.
I had my husband give me a candy and passed it down to him. Then another, then I had one of the ushers get him some juice. In the end he had two dex tabs from his wife (that was all she had on her), I had passed him four hard candies, and then a glass of juice from the usher.
We offered to go out to the car to get our spare glucometer to get a reading, but they didn’t want it. Had I had it on me, I could have easily tested him. Plus, my glucagon is in there and more dex tabs … argh.
The reminder which humbled me was when his wife said to me, “I worried this would happen. He had his insulin this morning, but hasn’t eaten yet.” It was now 2:30-2:45 in the afternoon.
I’ve heard where people will up their basal to account for food intake during the day/night or for meals. I don’t do that. My basal keeps me flat if I don’t eat. We’ve gotten my husband’s to the same point; he doesn’t need to eat, to feed the insulin, but being mdi, he can’t get as flat as I can with multiple basal rates.
Anway, I now appreciate what hospitals are up against, preop. I’m still miffed that they don’t test before he eats and prebolus or even bolus with his meal. No, they test and bolus a few hours later. He’ll be home soon and I can get him back on track!