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Operation

Sarah69

Well-Known Member
Messages
1,500
Location
Hethersett, Norwich
Type of diabetes
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Insulin
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Anything healthy!
I will be having an operation on the 25 May, will my bs's stay normal or will they go up. I've never had an op before so im trying to get as much info as possible before I go in.
 
Now here's a subject I have plenty of experience in!
I'm T1 and have had 6 ops since Christmas, the last one being a below knee amputation, done last Monday. But I see you are Type 2, so you really need to add a little more info about how you manage your diabetes and what type of surgery you will be having before I can be of much help specifically.
 
Hi, I'm on insulin and metformin. The op is for a hip replacement, not sure what else you need to know but just ask if the info I've given is not enough. Thanks.
 
Here's what you need to know:
http://www.diabetes.org.uk/Documents/Pr ... ndards.pdf

Have a read, and don't be afraid to ask for a pre-assessment with the anaesthetist doctor.

Your BGs may go up and down, and all over the place. There are lots of things you need to consider before the surgery, as you'll see in the guidelines. I recently had minor surgery with unnecessary diabetes-related side effects, so feel free to ask me anything you want to.

Metformin is risky with the contrast dye they use for CT scans. If you've had a contrast scan of your hip, they probably told you to stop taking it beforehand. If there's any chance they will use contrast dye during surgery, the same applies.

Make sure you are first on the surgical list for the day, and that they understand why so they're less likely to allow delays.
 
Also, are you on any other meds (only share if you feel comfortable doing so). Is the hip replacement for osteoarthritis (if so, I would imagine you might be on anti-inflammatories or other meds for that).

Ideally your doctors will discuss with you (not "about you") what the plans are for post-op care including pain management and other things. The choice of medications used at every stage of your hospital stay will, among other things, depend on what, if any, other conditions you have and what medications you are taking.

I have had surgery multiple times for various things. It's hard for me to remember my first one but I remember feeling scared about having surgery - wanting to know what will happen, but also not wanting to know.

Some things are better if you are told beforehand, such as that you might have a sore throat when you wake up. This comes right with ice cubes etc and the pain medication also helps. It's caused by the small soft tube they place there that helps you breathe during the surgery. Most times it doesn't hurt afterwards - it's more likely to happen with oral or facial surgery because they place it differently.

When you wake up in the recovery unit, often there are other patients in beds behind curtains also waking up and getting ready to be taken back to their ward. One time I could hear a woman patient and the staff discussing her case with her and each other - she'd had a total knee replacement that had gone perfectly and she was in no pain at all (adequate pain meds). I, on the other hand, had just had my wisdom teeth removed and was in a lot of pain (inadequate pain meds). I learnt two things that I want to share with you:

1. Joint replacement surgery can be more successful and less painful than minor surgery, and as long as the right type and amount of pain meds are used, it's not as scary as I thought it would be. (I haven't had this type of surgery but I have a more positive view of it than I did before).

2. As a patient, it's in my interests to discuss with the doctors beforehand, which type of pain meds they will use, how much they expect I'll need, and where the safe upper limit is. If they assume that x drug will work for me because it works for most people, then they could be wrong. You may not know of any particular meds to avoid, but in that case you could ask them how flexible they are if the patient is in pain and other options need to be tried.
 
Sarah69 said:
I will be having an operation on the 25 May, will my bs's stay normal or will they go up. I've never had an op before so im trying to get as much info as possible before I go in.

Can't help you with your question Sarah but just wanted to wish you all the best with the op. I'm sure everything will work out fine so try not to worry too much.
 
Sarah - you still have plenty of time to prepare for your surgery, dont panic. I am sending you two links, read through them, make notes and contact your medical team if you feel that you need further advice or reassurance.
Its very important to keep bg levels as close to non diabetic levels as possible, this will help you speed up healing.
Speak to your medical team re post operative pain control, you might be prescribed one analgesic upon discharge, but you might need something for the breakthrough pain. I have never known a pain killer to last the full 4 - 6 hours before its safe to take another dose.

http://www.google.co.uk/url?sa=t&rct=j& ... 3zbsYDdrHA

http://www.patient.co.uk/doctor/Precaut ... urgery.htm

I hope all goes well, I wish you a speedy recovery.
Big hugs
x x
 
WhitbyJet said:
Speak to your medical team re post operative pain control, you might be prescribed one analgesic upon discharge, but you might need something for the breakthrough pain. I have never known a pain killer to last the full 4 - 6 hours before its safe to take another dose.

Good advice WhitbyJet. I would add that various pain killers come in slow release form and can last up to 12 or even 24 hours (the latter is unlikely to be prescribed for acute pain). They can even provide a PCA pump (patient controlled analgesia) which I have used and it worked well for me. The pain med is delivered through an IV line, usually into the arm.
 
Thanks everybody for your comments :D

I am on diclofenac anti inflammitries, citalapram for depression, zopiclone to sleep, simvador for cholesterol. I also take omega 3 fish oil suggested by my GP. My hip replacement is due to osteoarthritis. I have been on painkillers from mild paracetamol to very strong methadone and almost everything inbetween with absolutely no reduction in my pain. So I'm worried a little that what is given to me after wont work. I've never had to have a contrast dye.

My pre op is on 1st May but I'm just trying to find out a lot before I go as I've never had 1 before. I have a lot of questions to take but some id like to know now! I can be quite impatient at times! Do the hospital take over your diabetic care? Do they immediately put you on a sliding scale? Also 1 other question as I'm diabetic do you think I will be admitted the evening before?

Thanks
 
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