spike in levels after operation

grumpysteve said:

hi operation was thursday for pollop removel in sinuses peniciliean to prevent infection i believe was only a day patiant even though was full anisthetic i just dont understand it new to this to be honest only diagnosed january and that was after comng out of hospital having chemothereapy and was on steriods then just dont seem to be able to get any answers from doctors steve

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Welcome to the forums @grumpysteve .

Unfortunately steroids are also renowned for raising bgs (so much so that steroid induced diabetes is a known issue, though I'm not saying that that is why you got it). As @Antje77 said, stress and illness also have dramatic effects, so even if you don't have an infection I'm not surprised that you are currently having issues.

In the short term you may have to wait it out, though reducing the carbohydrate in your diet may help. Here is my favourite link on T2 and low carb, jokalsbeek's excellent blog.
JoKalsbeek's blog | Diabetes Forum • The Global Diabetes Community

But in your position I would contact my doctor if my levels didn't start to reduce soon.

Good luck, and once again, welcome.

grumpysteve said:

hi operation was thursday for pollop removel in sinuses peniciliean to prevent infection i believe was only a day patiant even though was full anisthetic i just dont understand it new to this to be honest only diagnosed january and that was after comng out of hospital having chemothereapy and was on steriods then just dont seem to be able to get any answers from doctors steve

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I finished chemo in February and was diagnosed in March on the day of surgery (it was then delayed by 2 weeks). They think dexamethasone steroids in chemo contributed greatly. On the day of my surgery after being on insulin for 2 weeks with good BG results, my BG spiked “enormously” whilst under general and atheistic and I was put on a VREII sliding scale for four days in hospital. Doctors and anaesthetist all said it was not so uncommon, as the body detects trauma and releases glucose to try to aid it, insulin resistance cannot handle the large dose etc. My BG levels took a few weeks to settle down after surgery and I was warned this could be the case as my body dealt with the “injury” of surgery. Seven weeks on and I have good control of my BG (the exception being the FBG in the morning can still be a little high but during the day I have levels of 5.2-5.6. I have reduced my dose of Humulin M3 insulin from 12 units in the morning now down to 4 units, and 10 units at teatime now down to 3. I am trying my hardest to come off insulin, but will start letrozole next week and will need to see what that does to my BG. I eat less carbs, am back walking but whilst this is far more than I managed in chemo it is nowhere near the daily 24,000 steps I used to manage but more like 12,000 steps. I would say improving my diet and reducing carbs plus increase in exercise ( at one point I spent 20 days in bed with chemo and did less than 500 steps a day) is really helping.
I take each day as it comes and don’t get despondent if one day I eat a few more carbs and my results are not as good as I would like, I just put it down to experience, learn from it and move on.

Hi @Nicki70

Hugs for the need for chemo.
(Saw sister when she needed, many years back ) very unpleasant then, I hope it's improved some .

Best wishes it's been a great success.

Liking the attitude...and omg 24k steps
I'm patting myself on back if when fitter I hit the 18k market

An Interesting point made .

Have heard surgery & other meds may cause Diabetes to surface ..wasn't aware of the trauma part, but does make sense .



@grumpysteve ..
Man hug for the op & recovery

My tuppence worth.

Big accident Dec 2019, month HDU
But my numbers were decent ..sub 10 most morning checks.
Was on morphine, codeine paracetamol plus various antibiotics etc
(hospital food takes a LOT of navigating to get anywhere near low numbers )

So my guess is it's not the hospital part
It's the treatment since penicillin etc.

Just to add , Mine hasn't got back to normal numbers now home
Was regular visitor to mid 5's now marooned in the 7 belt...aaghh.

But mine is because of a combination of confusing info re best for mending bones & highish pain meds daily

I hope, once your medication needs are reassessed, I suspect your BG will go back to more normal figures for you .

A few years ago I had a series of kidney ops, being put under with general anaesthetic each time.,.... Upon this my bs levels had soared. The nurse told me this is normal after these type of ops...... Last month in April I had another kidney operation and the nurse told me bit later my blood sugar level had soared up to 18.4, so it's apparently normal for this to happen after a general operation...... At bedtime it had gone down a bit and next day it had come down further.... Just be patient(excuse the pun) and it will all be back where it should be.....