Surgery and anaesthetic

[Sydney21]

Hello all

I am due to have surgery under anaesthetic on this coming Tuesday in the morning. I have been instructed to take 80% of my night time insulin (toujeo) the night before and not to take any nova rapid in the morning.

The surgeon advised if my bloods are above 12 on the morning the surgery will be cancelled. My blood sugars do rise in the morning when I wake up, even when I haven’t eaten. How can I prevent this and make sure they do not rise above 12?

Thanks in advance, any tips or advice is welcome.

 

[jape]

Be very circumspect of the carbs that you will be eating the next few days and measure your blood sugar regularly. You don't say how well your blood sugar is controlled normally. The rationale for the doctor's dictum is that they don't want or need to deal with potential hypos or hipers while you are under anesthesia.

 

[Sydney21]

Be very circumspect of the carbs that you will be eating the next few days and measure your blood sugar regularly. You don't say how well your blood sugar is controlled normally. The rationale for the doctor's dictum is that they don't want or need to deal with potential hypos or hipers while you are under anesthesia.

thanks for your reply, my blood sugars are well controlled and my a1c is around 50

 

[EllieM]

Hello all

I am due to have surgery under anaesthetic on this coming Tuesday in the morning. I have been instructed to take 80% of my night time insulin (toujeo) the night before and not to take any nova rapid in the morning.

The surgeon advised if my bloods are above 12 on the morning the surgery will be cancelled. My blood sugars do rise in the morning when I wake up, even when I haven’t eaten. How can I prevent this and make sure they do not rise above 12?

Thanks in advance, any tips or advice is welcome.

Ouch, well I guess their recommendations are based on experience. Are you supposed to be fasting overnight?

I've had two general anaesthetics since the invention of glucometers and since they were both emergencies, no one cared about my bgs or gave me instructions as to what I should be doing with my insulin beforehand.

Presumably they are going to put you on an insulin and glucose drip???

 

[Sydney21]

Ouch, well I guess their recommendations are based on experience. Are you supposed to be fasting overnight?

I've had two general anaesthetics since the invention of glucometers and since they were both emergencies, no one cared about my bgs or gave me instructions as to what I should be doing with my insulin beforehand.

Presumably they are going to put you on an insulin and glucose drip???

hello, thanks for your reply.
yes I will be on an insulin and glucose drip so during the surgery my sugars will be monitored. I’m just stressing about making sure my sugars aren’t too high or too low on the morning!

 

[KidDougi]

Hello all

I am due to have surgery under anaesthetic on this coming Tuesday in the morning. I have been instructed to take 80% of my night time insulin (toujeo) the night before and not to take any nova rapid in the morning.

The surgeon advised if my bloods are above 12 on the morning the surgery will be cancelled. My blood sugars do rise in the morning when I wake up, even when I haven’t eaten. How can I prevent this and make sure they do not rise above 12?

Thanks in advance, any tips or advice is welcome.

I’ve been seeing my BG levels go up at the same time each day, irrespective of me fasting or not.
My theory is that my body is anticipating that I’m about to have my main meal so dopes me up with glucose so that I have the energy to ‘hunt’.
You probably don’t have the time to do much about it now but my suggestion would be to drain as much of your glucose reserves as you can through exercises.
Depending on your current levels of exercise I would recommend spending the weekend putting in a couple more session, or simply going for a couple of long walks, along with a low carb weekend, that might be enough.