operation and not eating

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New-journey

New-journey

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Hi all, I broke my wrist very badly last week and heard yesterday the bone has not set. So now i need pins and a minor operation. I only realised when home they are asking me to not eat every day from 2am till 11. They will then ring and tell me if i should come in. It can be any day for the next week.

My question is, anyone been through this? How do you make sure you don't have a hypo? Yesterday I had no rapid insulin after breakfast and had 4 hypos, which is unusual and think was due to managing the stress of the hospital visit. I will ring the hospital this morning but was sure one of you had navigated this!

Thanks!
 
Inka said:
Are they aware you have diabetes @New-journey and are on insulin?
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They will when I ring up. I told the nurse who said she would add it to my notes. I was in shock with the doctor and he wasn't very supportive. I wish I had asked him how it works with type ones!
 
New-journey said:
They will when I ring up. I told the nurse who said she would add it to my notes. I was in shock with the doctor and he wasn't very supportive. I wish I had asked him how it works with type ones!
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I think different specialisations these days mean no crossover between conditions. I had a dodgy mole removed from my right forearm about 10 years ago, and I told them I was Type 1, but they were clueless as to the implications. I had to spell it out to them that should I need to test my blood sugar, or treat a hypo in the middle of the procedure, someone would need to do a finger prick for me, or hand me my jelly babies, as I was tethered to a chair.
 
New-journey said:
They will when I ring up. I told the nurse who said she would add it to my notes. I was in shock with the doctor and he wasn't very supportive. I wish I had asked him how it works with type ones!
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You could try giving your DSN a call. They might have some good general advice for you.
 
Hell! If I EVER need to see anyone at any hospital even the one where I attend my D clinic appts, my very first comment to the receptionist after my name and reason for visit is that I have had Type 1 diabetes and use an insulin pump. The 3 hospitals locally all already have me on their system so defo know that anyway. Is it already in plaster and immobilised?
 
Stress has the completely opposite effect on me, my BG shoots up as it did when I smashed my kneecap. A&E X-rayed, slapped in plaster thigh to ankle, admitted, operation two days hence (sliding scale, couldn't stop them doing that) woke up in a new plaster and got me out of bed very awkwardly and painfully the next day. Ketones through the roof, I did need to up my pump to 300% - and it took several months to get back to pre-break levels, though the ketones only took another week to disappear after they'd taught me to walk, climb stairs etc on crutches. That foot was weight bearing BUT not allowed to straighten that knee for a good while, and had to have physio - but they were really good for me and I did benefit.
 
New-journey said:
My question is, anyone been through this? How do you make sure you don't have a hypo?
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Sorry to hear about your arm.
Simple solution is to cut your basal insulin I would have thought.
There is nothing to stop you correcting if you go high though.
 
Thanks everyone. I am in plaster, it's been 2 weeks already.
So i got through to the trauma nurse who apologised and was amazing. I was given the wrong letter and they had already discussed me, I will be at the beginning of the day. I now feel they will take care of me. I do tend to have lows when I am stressed so they will give me a glucose drip if it happens. Now i just want the operation!
Thanks for helping me feel less alone.
 
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