Insulin Before And After Surgery

[sleeversue 93]

I am considering sleeve surgery and am going through the necessary medical testing and procedures now. I have a few questions about the need for insulin pre-op and post-op. Do you need less insulin during the two week pre-op liquid diet? Do you come home from the hospital off of insulin and only need it again if your blood glucose numbers go up? Not sure how this is handled. Thank you for any help.

[TheNewSusie 471]

I'm type one and have been sleeved for 1.5 years, I used to take 60 units of novolin N and R and now barely take any. I didn't take more than 3-5 units a day while on liquids and now I take 3-5 units every few days. I feel like I cured myself. But as always talk to your doctor .

[JustSayMoe 163]

"Super" diabetic (Type 1 and Type 2 at the same time) 175-200 units of Novolog daily via pump before surgery at 400+ pounds. Now 30-35 units a day at 215 pounds.

[danaevett 179]

My diabetes doctor told me that I wouldn't need any insulin after surgery.

[sleeversue 93]

I am hoping for no insulin too!

[TheNewSusie 471]

Pretty sure u can do it! Trust me when I say, if I can, so can u!

[Idlewood4 93]

I'm on day 2 of Protein Shakes I have 12 more to go before my sleeve surgery date on 12/9. Type 2 diabetes for 20 years. I was up to 80 units NPH morning and bed, sliding scale Novolog, 1.8 Victoza, and 2 XR metformin twice a day. Its day 2 of Liquid Protein and I keep going low. Haven't taken novolog, and my endocrinologist is cutting my NPH in half. It was down to 64 units twice a day with the presurgical program. Got the OK to treat lows with 1/2 cup OJ or glucose tablets. Been taking blood sugars pretty frequently. Would love to hear others experiences with this. Great topic!

[sleeversue 93]

That is fantastic Idlewood4. I am hoping for the same when I have my surgery. Please keep us informed of what is happening as you go along.

[Idlewood4 93]

So today is my surgery day. I've already had to cut my NPH in half, and then reduce the bedtime from 64 to 30. My morning NPH has gone from 64 to 32. I haven't had to use my Novolog since day 2. Still taking 1.8 Victoza, and 2 Extended Release 500 mg Metformin twice a day. My sugars went berserk the first few days of Protein shakes, like 280! Since then the highest I've see in 138! Lost 14 pounds on the liquid diet. Took 20 NPH and my victoza earlier. Nothing tomorrow morning. Surgery is at 11/:30. Let me know how you all are doing.