help!

[cindymaried 145]

My blood sugar has been dropping below 65 the past 2 mornings on my preop liquid diet. I think I need to reduce my long lasting insulin but I don't know how much!!!

So at 3 in the morning I am trying to raise it back up to stop shaking and feeling puky and so sick that I cheat. I drink milk but I grabbed a Protein Bar because its the healthiest option with a little sugar and then I felt fine..

But the whole this is I am on my preop and not supposed to have anything but liquids. Now I feel terrible but my brain doesn't function when my bs is so low

Guess I will call my PCP to see what he suggests..

Not feeling so great after a drop like that....

[gmanbat 5,889]

Guess I will call my PCP to see what he suggests..

Yes, most certainly.

Sorry you are having problems. You and doc can sort this out.

You sugar level is more important than a perfect pre-op diet.

[Arts137 1,811]

AMEN!!! Let your MD sort this out!!

[TES 858]

If you have an endocrinologist or PCP who normally handles your insulin dosing to treat your diabetes, I would consult with him/her in addition to your surgeon/RD who put you on the liquid plan. You don't want to jeopardize your health during this time and hypoglycemia in a diabetic patient can be very dangerous. I'm sure the dr will understand that you needed to get your blood sugar up. Hope you get things in control soon -- wishing you all the best.

[tigerbelle 328]

everyone else is giving you the right advice about consulting your PCP...and it looks like you are taking that path...I am also a diabetic who was on both the maximum metformin dosage and 40 units of Lantus (long lasting) insulin each day pre-surgery...I did not have a pre-op diet, other than the day before surgery, but my dr had advised me to get off my meds altogether once I started the surgery prep diet...since my surgery (it's been almost 3 months now, the only med I take for diabetes is half of a metformin pill each morning (and I don't really need that)....please keep us updated as you work this out with your dr...hang in there and take care of yourself!

[Sherri297 81]

Everyone is exactly right, check with your PCP. I think you are probably right about reducing your long acting insulin. Pre surgery I was diabetic also, I was on 30 units of Levimir, and Janumet. Now I take nothing!!! I know it's rough right now, work with your doctor, and I would bet that post surgery you'll be one of the lucky ones taking nothing also.

[cindymaried 145]

I just spoke with my Dr's nurse and she said cut it down by half and see what happens if it needs adjusted more just call back. Hopefully that won't keep happening...