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<blockquote data-quote="crashinduction" data-source="post: 1805965" data-attributes="member: 165735"><p>I’ve recently had shoulder surgery and found just the same. I had really high insulin requirements for several days afterwards, even worse after the nerve block wore off. </p><p>I’m in a slightly different situation as I’m an anaesthetist. I advised my colleague giving me the GA/nerve block to leave my insulin pump & G4 CGM on which is by far the best solution. Not all anaesthetists will be that familiar with pumps/CGM’s but with a bit of explanation, will quickly learn and probably be happy. They will all understand the concept of the devices though. </p><p></p><p>Your body goes into a state of surgical shock post op due to the trauma of the operation, which is attenuated by the block (although still present) There are lots of hormonal changes that occur including release of adrenaline and cortisol which elevate your BM’s for several days. Once the surgical site settles down, the hormonal increases will settle too, although post-op pain will also increase your BM by a similar process. </p><p></p><p>BM’s of 10 to 13 aren’t unusual for a few days afterwards and probably not be that harmful and just need an increased BR until they settle. Regular pain relief and BM monitoring is the key.</p></blockquote><p></p>
[QUOTE="crashinduction, post: 1805965, member: 165735"] I’ve recently had shoulder surgery and found just the same. I had really high insulin requirements for several days afterwards, even worse after the nerve block wore off. I’m in a slightly different situation as I’m an anaesthetist. I advised my colleague giving me the GA/nerve block to leave my insulin pump & G4 CGM on which is by far the best solution. Not all anaesthetists will be that familiar with pumps/CGM’s but with a bit of explanation, will quickly learn and probably be happy. They will all understand the concept of the devices though. Your body goes into a state of surgical shock post op due to the trauma of the operation, which is attenuated by the block (although still present) There are lots of hormonal changes that occur including release of adrenaline and cortisol which elevate your BM’s for several days. Once the surgical site settles down, the hormonal increases will settle too, although post-op pain will also increase your BM by a similar process. BM’s of 10 to 13 aren’t unusual for a few days afterwards and probably not be that harmful and just need an increased BR until they settle. Regular pain relief and BM monitoring is the key. [/QUOTE]
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