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    surgery and the pump
    dgarner11 posted:
    So I have to have surgery on my hand in a couple of weeks.

    I would like to be prepared for my pre-op appointment and I'm not sure to handle the whole pump thing. I wasn't on the pump for any of my other surgeries so I have no idea if I should keep it on, take a pump vacation for that day and let them monitor my insulin/blood sugar.

    I see my surgeon tomorrow and the pre-op nurse on Thursday, but I'm hoping someone here has some experience with surgery while on the pump


    (also posted on the diabetes exchange)
    MrsCora01 responded:
    Sorry, but I never had any surgery while on the pump. From what I understand from other posters on other boards, they used to force you to take the pump off. Nowadays it seems that all they request is that you drop your basals during the surgery so that you don't go low. I remember when I was on mdi I usually took 3/4 of my nph (days before lantus) on the morning of surgery. Are they going to let you manage your own diabetes? I have been fortunate in that I have always been allowed the leeway to do that.

    Will you be hospitalized or is it a day surgery?

    Best of luck.

    dgarner11 replied to MrsCora01's response:
    Hi Cora, thanks for your input. I have no idea if they will "let me" manage on my own. Ive never been to this particular hospital and my endo/diabetes team works out of a different hospital.

    On top of that both my CDE and dietitian are on mat leave so I don't have anyone to email. I mean I'm sure whoever is covering will email back but they don't know me or my history.

    Ive only had a few surgeries, my last was my vitrectomy (pre-pump) and I remember for that one they told m to not take my insulin at all that morning, I took my levemir after I got there if I recall and they monitored my short acting insulin needs.

    My trigger finger release was no problem because I wasn't out for it and my c-section, well that was a big cluster ---- from the beginning so that's a bad example lol.

    I'll see what they say tomorrow and I will pop my nurse an email (now that I think about it, she may be back).
    CF313 replied to dgarner11's response:
    I had my wisdom teeth out while on the pump and didn't change anything. But I did wear a continuous monitor during and nurse kept her eye on it. I showed her how to suspend the pump if I started to go low but everything remained pretty stable. Good luck if you haven't already had it!
    smip responded:
    I have had 3 surgeries while on the pump and several hospital stays. If haveing surgery, they let me keep my pump on. Being that I was NPO (nothhing by mouth) they had me put my pump on half the dose. However, my first surgery they were a bit confused because no one had seen an insulin pump nor did they know how it worked, but the doc agreed with me to let the pump ride. That way my numbers would not go wild.

    My advice to you is to talk this issue over with your doctor and come to an agreement... pump on or off. Just make sure that ALL the caregivers know that you are on a pump. The most important one being the anastegeoligst and the doc that is doing the surgery. You will have a meeting with him before the surgery.
    smip replied to smip's response:
    Oh wow this post was 2 weeks ago.. hope your surgery went well.

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