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diabetes and general anaesethic

emmaw_13

Active Member
Messages
43
Location
derby
Type of diabetes
Type 1
Treatment type
Pump
Dislikes
spiders, ants, wasps, ignorant people, people with no manners.
hi ive got to have a few teeth out under general anasethic however by blood sugars are stable but high does anyone know how dangerous it is?
 
My guess (and it is just a well reasoned guess) is that it's ok-after all there are lots of diabetics who've had anaesthetics. Also under anaesthetic they stop a lot of your normal functions so everything is being monitored. Before diagnosis I had a serious accident and been under general anaesthetis for quite a few operations as a result, and I have total faith in them medics they do a great job-all will be fine I'm sure.

p.s. I only made a complete fool of myself in Abbey National Derby hope they've forgotten me by now!
 
Discuss your control with the consultant carrying out the procedure, I've had a general anaesthetic being both uncontrolled and controlled but always make them aware of my diabetes control. With a general they'll be a health questionnaire to fill out beforehand anyways.

Nigel
 
thats great news thank you i wont be under very long (i hope lol) there aware of my diabetes but got to go for a pre op in the morning and then the op at 2pm the same day they havent told me when to starve i think i need to find out.
 
When I had a major op, because I am diabetic they put me first on the list at 9 am so I only had to fast overnight.
 
I know you are T1
However for interest found this in BNF 61
Metformin
see ; use of general anaesthesia (suspend "metformin" on the morning of surgery and restart when renal function returns to baseline)


Iv had a few large ops lately have taken me off all my oral Meds placed me on Insulin every time
until a day before discharge also been 1st on the list each time 8)


I had my wisdom teeth out in Hospital 30years ago,remember I woke up with a sanitary towel stuffed down my Gob ,With all the rest on the ward drinking small bottle of Guinness :cry:

Bob
 
hmm im on the pump though so i imagine would still need my basal for background i have an appointment with my nurse this week so ill speak to her but thank you x
 
The hospital will usually put you on a drip of insulin/glucose mixture. At least they did two years ago. They would not do anything else. My problem with general anaesthetics is not the anaesthetic itself, that is no problem at all, and no more dangerous for us diabetics than for anyone else, but the drip and their management of it. I have heard many stories from many people of great success and no problems, so I know my experiences are not so common, but I have had some doctors refuse to listen to me about the ratios in the drip and every time I've been in hospital for an op they have made me go hypo. So make sure any instructions you give at your pre-op meeting are written down and signed by your consultant, then the ward staff have to obey them.

Having said that I suspect that if you are on a pump they won't even use a drip and will let you manage your fasting period by yourself with your pump. They worry terribly about the BS being high and don't seem to realise that a bit high for a short time is no problem but low for a short time certainly is. One day they will get it through their heads, or maybe the rest of the world has and it's just my hospital. I am in the middle of a serious complaint about it with them.

Now, close your eyes to my scaremongering, talk to your consultant to make sure it all goes as YOU want it and don't let them bully you into doing anything you don't feel right about. You'll be fine. The anaesthetic itself is no problem. And do believe the staff when they say don't eat too much afterwards, because you may not feel sick, but the stomach tends not to cope with proper meals for a bit. I found that out last time.

I had a couple of teeth out by the specialist tooth people and I chose to have it done with a local anaesthetic. I thought it would be difficult, but they are so experienced and have all the right gear that it only took a few minutes and was not the least bit scary or painful. They were wonderful. Much easier than starving for a general. It might be worth considering, unless your op is more serious and needs loads of teeth doing.
 
hi i know what you mean with hospitals they didnt understand ratios with me either or the fact im not on a set dose it depends what i eat to how much insulin i have but they still dont understand and then wouldnt let me go home cause my sugars were a lttle high with out the packaging i couldnt work my dose i think some doctors need to go on the dafne course. regarding the op im absolutely petrified of the dentist and cant bare the thought of being awake lol. x
 
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