How do I handle no meds for 3 days pre-surgery?

Tammy D.
on 5/9/10 4:05 pm
Hi, 
My Dr has instructed me to get off of all my diabetes medications by 3 days prior to surgery.

I verified with the PA that is really the intent.  She just kind of shrugged when I asked what I was supposed to do about my blood glucose during that time.

I realize I won't be in danger of major damage in 3 days.  However, I keep tight control on my blood glucose as I don't like the way I feel when I don't.  I'll be feeling mighty crappy when I get to the hospital for that surgery.

What did you experience?  Did you find any helpful pointers for this time? 

Any info appreciated!  thanx...tammy
(deactivated member)
on 5/9/10 11:18 pm - Woodbridge, VA
Do not consume more than 5 grams of total carbs at any one meal/snack. High protein, unrestricted fat, VERY low carb - this is often how many diabetics stay off of medications. Studies show that fewer than 5g carbs at a time is not enough to trigger an insulin response from the pancreas. It's not an easy diet plan long term, but for 3 days, it should be fine, and should even help to shrink your liver a bit, which is an added bonus for surgery.
Tammy D.
on 5/10/10 5:59 am
That is a really good, common-sense approach - thank you!!  Excellent!

I have come to realize just how dependent I am on my various meds, most specifically those for diabetes and arthritis pain control. Understanding that dependency exists has scared me as well. 

I will be so grateful post-surgery!  I think I'll make up a little timeline chart for myself - each prescriptive pill I can cut out will be a major NSV!
JennType1
on 5/10/10 1:16 pm, edited 5/10/10 1:17 pm - Middle of, TN
You know, you're gonna be a DSers, so you're going to have to get used to digging a bit more when docs give questionable advice/instructions/opinions.

I think this is one of those times. Poor glucose control impedes healing, as I know you know. So I'd want to hear from the doc her/himself what the rationale is for effing up your control so close to surgery. Are they worried about hypoglycemia immediately� post-op?� Maybe I'm not getting this because I'm a Type 1, but I think it's worth pushing back on, a bit. Most peeps on the DS board seem to take their Type 2 meds right up until surgery, and are then off them immediately post-op.

Though Jill did give some excellent advice, if it turns out there is a sound reason for taking you off your meds more than 24 hours before surgery.

ps-- I lurve your avi!!!

Jenn
Type 1 diabetic, 26 years
With great power (the DS!) comes great responsibility.

  
Tammy D.
on 5/10/10 2:27 pm
Your points are well made and I thank you.  

When I examine my reaction, it is due to the fact that the order to cease is from Dr. Rabkin's office...who should be the most informed Dr I will ever meet.  I read from your message that this isn;t SOP and therefore maybe it is coming from the new PA.  hummm....

Thanks for the food for thought.  I will go back at it again!
jameyd1967
on 6/18/10 12:25 pm
my doc has me taking in the last four to six weeks like ensure shakes to reduce the size of my liver and to help him in having more room to work carnation make a sugarfree version of ensure and thats what there recommended for me to maintain sugar controls
Tammy D.
on 6/18/10 1:53 pm
You might also consider "Glucerna" which is designed for diabetics and is used the same as Ensure.
Century Club: Thanksgiving Day 25November2010  I am truly grateful
Diabetes, hypercholesterolemia, and GERD resolved along the way. 
Onederland:  Citizen & permanent resident 17Dec2010  
'Normal' BMI range reached 26July2011
18 Month Surgiversary 148# BMI 23  26Nov2011

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jameyd1967
on 6/20/10 10:04 am
my doc says i will be taking my last shot of lantus and my last metformin twenty four hr post op  i hope RNY will be my escape from diabetes
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