I’m t1 with a dexcom and an animas vibe. I’m having major back surgery in july or august. I am planning to keep my dexcom and vibe on and maybe do a lower basal? Has anyone dealt with this before?
I will be in the hospital a week and insisting on doing my own d care and they can do checks and that’s it. They do sliding scale here and I don’t want my bg all over the place.
I’ve had a few surgeries and I handled it just as you’ve described above. You will probably want to lower your basal the day before since you will not be able to eat anything after midnight before you have surgery. I was in for 4-5 days each time and they were actually relieved that I wanted to handle my own care to be honest although YMMV depending on your doctors.
Good luck with that–and I’m not being sarcastic 
I had to be in hospital about 4 days for major abdominal surgery back when I was on Lantus/Novolog MDI. First morning they turned up with R/NPH and it was quite a wrangle to get them to back off and let me do my own DB medication with my injection pens, which I’d brought along. I ran up against all kinds of rules and regs about letting patients dose themselves with anything while in the hospital. I worked out a deal where I would tell them the doses and they would administer them, which was in practice meant they let me do it myself. Dunno if you’ve already checked this out with the staff ahead of time but if not be prepared to have to hold the line about it.
I haven’t been in a hospital while on a pump, just while on MDI. I’m T2 and the hospital only dosed sliding-scale with dosages suitable for a T1 - Max 4U which… yeeeah. No. That wouldn’t even begin to budge someone with a 1:3 carb ratio when you bring them “blended and strained” oatmeal and sugar-sweetened cranberry juice for breakfast!
You need to speak with your doctor and have it put into your chart/notes BEFORE surgery that you are to handle your own insulin dosing. Once you’re actually in the hospital it’s a problem because they’ll only go by what’s in the chart and it becomes a fight. They can’t do anything different (or usually let you do different) unless you then talk to your doctor and he puts it in your chart. I ended up refusing to eat anything but SF jello and Crystal Light until my doctor let me handle my own insulin.
I am hoping that’s the case! I know some nurses can be on a power trip though so we’ll see 
I emailed the surgeons secretary and asked if I’d be having another appointment with him before the surgery or not to discuss a few things. My t1 care as well as having stitches instead of staples! I talked about d care to the anesthesiologist/nurse at my preop last time and they were fine with my dexcom and me doing my own insulin and them keeping the receiver with me as well as using my own delica instead of their harpoon. I was on MDI last time and no overnight stay so will prob be a tad different.
Hmm I use a pump so they can’t “administer” anything. I emailed the surgeons secretary that way I can find out if I see him to let him know I’m doing my own diabetes care or when I go for my preop 
My local hospital has been great about me managing my own diabetes and keeping my pump. Speak to the anesthesiologist about keeping your pump on during surgery. Once I gave my anesthesiologist a quick run down on what to do if my numbers started getting low during surgery and how easy it was to suspend the pump he was perfectly fine with me keeping it on, and in fact they didn’t need to suspend it at all, my numbers stayed fine during surgery. But them knowing put them at ease. I’m sure I’ve had an order by my doctor to let me manage my own diabetes, but it has never been a huge deal. My most emergent surgery when I broke my leg, I just told the hospitalist and ortho I’m doing my own thing. Neither had a problem with it.
It may depend on hospital policy. I had to have major liver surgery last year and anesthesia and my surgeon agreed that due to rapid possible changes during the procedure they would manage everything through an IV drip during procedure and once I was “with it” again, they’d let me switch back over to the pump. We are doing the exact same thing for delivering baby #1 here this August (!!!) with my OB at a different hospital. However, this is against both hospital policies so endocrine was called for a consult once I woke up where they wrote an order for basically “let the patient handle it” and that fixed EVERYTHING. The other thing I’ll warn you about, because I just got off the phone with Dexcom in regards to possible interactions if I end up with a C-section, they will NOT give you the all clear to do any sort of surgery (even an x-ray) with the Dexcom remaining in. The concern with cautery and the metal in the sensor arc’ing is what I needed an answer to…worth looking into pre-surgery.