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88 year old father, advice
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<blockquote data-quote="Honeyend" data-source="post: 1882409" data-attributes="member: 430576"><p>Its true that most diabetics would not be refused surgery because they have a high blood sugar. Was he planned as a day case?</p><p>They are usually put on a IV dextrose and saline when fasted and given sliding scale insulin via a IV pump and the dose adjusted on BS until after the surgery and they are eating normally. This is hospital so it would depend on the setting.</p><p></p><p> Looking at what I have seen with older people they let them run a bit higher because if they have a hypo and have mobility problems they can not react as quickly to a hypo and often they are living on their own and their is no one to help or notice if they are unwell. There are lots of older people who have can manage their diabetes on lower numbers but they usually have a really good understanding of their disease. It may that he has been advised to have a snack at night and that just increasing his BS levels if he has his main meal in the evening.</p><p> It may be just some tweaks in his diet would get the numbers down but this all depends on him. Does he want to be tested pre and post meal and record what he eats and adjust his diet? If he is making his own meals and what can he cook?</p><p> Most ready meals are high carb, you really have to label check. If you go on,</p><p><a href="http://www.mysupermarket.co.uk/" target="_blank">http://www.mysupermarket.co.uk/</a>, it gives you most of the nutritional information for most things in the major supermarkets so you can make him a shopping list of easy cook low carb foods that he would like to eat. The obvious things to avoid that are recommended baked beans, anything with pasta and a lot of soups are high carb, even the ones that look as if they shouldn't be.</p><p> If you go through his larder and fridge you can probably work out the culprits.</p><p> If he is like my husband he probably likes nice white sliced bread to make a sandwich, which is easy but full of carbs. So I would think the hard part is finding foods that are low carb that he will like to eat.</p><p> I would start with some basic food swops, ditch the fruit and add more leafy veg, cut potatoes but increase the meat content of a main meal so he is not hungry and if possible check his BS more.</p></blockquote><p></p>
[QUOTE="Honeyend, post: 1882409, member: 430576"] Its true that most diabetics would not be refused surgery because they have a high blood sugar. Was he planned as a day case? They are usually put on a IV dextrose and saline when fasted and given sliding scale insulin via a IV pump and the dose adjusted on BS until after the surgery and they are eating normally. This is hospital so it would depend on the setting. Looking at what I have seen with older people they let them run a bit higher because if they have a hypo and have mobility problems they can not react as quickly to a hypo and often they are living on their own and their is no one to help or notice if they are unwell. There are lots of older people who have can manage their diabetes on lower numbers but they usually have a really good understanding of their disease. It may that he has been advised to have a snack at night and that just increasing his BS levels if he has his main meal in the evening. It may be just some tweaks in his diet would get the numbers down but this all depends on him. Does he want to be tested pre and post meal and record what he eats and adjust his diet? If he is making his own meals and what can he cook? Most ready meals are high carb, you really have to label check. If you go on, [URL]http://www.mysupermarket.co.uk/[/URL], it gives you most of the nutritional information for most things in the major supermarkets so you can make him a shopping list of easy cook low carb foods that he would like to eat. The obvious things to avoid that are recommended baked beans, anything with pasta and a lot of soups are high carb, even the ones that look as if they shouldn't be. If you go through his larder and fridge you can probably work out the culprits. If he is like my husband he probably likes nice white sliced bread to make a sandwich, which is easy but full of carbs. So I would think the hard part is finding foods that are low carb that he will like to eat. I would start with some basic food swops, ditch the fruit and add more leafy veg, cut potatoes but increase the meat content of a main meal so he is not hungry and if possible check his BS more. [/QUOTE]
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