URGENT ADVICE PLEASE : insulin resistant following surgery

[Lauren8443]

Hi,

I had a rhinoplasty operate yesterday which I have had before.... this was revision surgery and a smaller operation.

I am very insulin resistant at the moment, which I remember from last time but am not sure about the correct procedure I need to follow.

Last time I think I just kept injecting (bolus) to bring it down.... do I just keep doing the same this time? Or should I be adjusting my basal as well.

The ward, although lovely are pretty useless with the diabetes advice..... any advice would be good.

 

[Copepod]

It depends a bit on which long acting insulin, but it's probably a good idea to increase basal dose slightly today. As you know, it's the stress of surgery that increases insulin resistance.

 

[Ljc]

Hi Lauren. I hope the surgery does the trick and you heal well.
sorry no advise.

 

[Lauren8443]

I am on degludec / tresiba which lasts upto 42 hours so has a delayed adjustment effect

 

[stephknits]

I guess it would also depend on how long you think you will be insulin resistant? Especially with the longer time frame of your basal. If you don't think it will last all that long, I think I would correct with my bolus. You could ask to see one of the diabetes team at the hospital as they should be able to give you the best advice and are no doubt used to dealing with these situations. There will be a DSN who's job is to see people in wards throughout the hospital. Good luck and a speedy recovery

 

[SB2015]

I have always had to increase both basal and bolus doses following surgery. Often for a few days.
I would follow steps advice and ask to see one of the diabetes team if you are unsure. The general staff are very unlikely to be able to advise.

 

[BBarb]

The only problem being - how long before the diabetes team are able to see you to advise.