I decided to start this as a lot of people ended up talking about having surgery and insulin dosing on a different subject blog. I have to assume that there are a lot of people out there that would love other peoples experiences so they have a better idea of how to handle it. It was very frustrating and scary when I had surgery a few years ago trying to figure out what I needed.
I was on Lantus once a day and Humalog as needed. For the first outpatient surgery it was going to be a short surgery I was told to take my full dose of the long lasting and none of the fast acting. I was fasting of course and I tested my sugars all morning and went into surgery at about noon with around a 200 BG level. My BG shoots up every morning without eating it turns out. When I woke up about an hour and a half later. I asked them to test my sugar and I was in the 70’s, so they gave me some apple juice and I was a fool because they offered me a second one and I drank it! Of course they then tested me again and I was around 350. My fault but it tasted so good! But sigh at least I wasn’t low anymore. I was going home so it was easily fixable as soon as I got to the car.
Outpatient surgery the second time around a couple of weeks later, the consultant pre surgery said they usually tell everyone take the full dose of long lasting. But I e-mailed my endo about the first surgery drop and she said this time try a half dose of the long lasting, no fast acting. This surgery was going to be about 3 hours and didn’t occur until almost 5:00 pm because the Dr was flying in to do the surgery. I went into surgery with a BG of around 225. When I was wheeled in I asked if they test me doing surgery and they said normally they don’t. Okay panic, I asked them to please test me during surgery as I dramatically dropped the first time. So they agreed. I came out with about a 150 BG.
Surgery is scary enough but they didn’t seem to have “special” protocol for Type 1. Testing me during this surgery seemed like it should have been standard treatment. And this was at a well known large hospital.
If I have to have any future surgeries I am now on a pump and a CGM which has turned out to be a wonderful thing! Especially the CGM part! But it will be another new learning experience. I also drop when I am in the dentist chair, drastically sometimes and have had dental surgery now using a pump. I have experimented with both a temp complete suspension and temporary half dose and both have worked out well. I dropped still but not into a too low situation.
So let people know how you handled your BG for surgery and how you did. I would have loved having more information from people! We all can be so different and the more knowledge the better!