Im going to see a surgeon on Monday to talk about surgery I will be having
that Friday to either remove the left lobe of my liver or just the parts
with the tumor on it, depending on what the biopsy says. Is there any
questions related to diabetes that I should ask? Should I make him aware of
my diabetes, or does it not affect the surgery at all?

He absolutely needs to know about your diabetes. It can affect surgery. I
really hope things go well for you.

--
c

website http://www.plazaearth.com/philo


"StrandgecK" <kwtindall@_!NEGSPAM!_cox.net> wrote in message
news:d94ab.55712$uh6.7413@lakeread05...

StrandgecK wrote:
The doctor has to know everything, including what meds you are on as
some have to be stopped up to 3 days before. Ditto smoking. He will
order blood tests, hopefully your bg's are in control, my father in
law had to wait 3 weeks in hospital for a severed thumb op til his
bg's were closer to normal.

Hi,
You must tell your surgeon about your diabetes, you dont say whether your
type 1 or 2. But either way, it is very important.

I am a type 1 & was not allowed insulin the morning of my surgery, & my test
was getting low the morning of the surgery, (it was day surgery). So the
doctors told me to come into the hospital earlier & they gave me a sugar
drip etc as I couldn't eat.

Your surgeon should tell you every little detail about what you need to do,
what medicine to take & when to take it etc. Also, you need to tell them as
they may ask you to stay in the hospital longer due to complications that
may arise after surgery.

Make sure you don't leave the hospital until you are fit enough to have food
(no nausea etc). I was in for day surgery & was told usually they are in &
out within about 2 hours after surgery. My surgery was the first for the day
at 7.30am & I didn't leave the day surgery unit until 9pm as I felt too
nauseas to eat, & didn't feel comfortable with going home as it was.

Also, if you are on your own, make sure you get someone to look after things
at home. Ie: clearing the letterbox & feeding animals & plants etc. The last
thing you want to do after getting home from hospital is to do all that kind
of stuff ... even worse, to come home & find something "missing"/ stolen.

Good Luck, Hope the surgery goes well for you

Bex (type 1 & veteran of surgeries hehe)
"Don't Hate Me Coz I Have Opinions, Hate Me Coz You Don't Know Me"


"StrandgecK" <kwtindall@_!NEGSPAM!_cox.net> wrote in message
news:d94ab.55712$uh6.7413@lakeread05...

"StrandgecK" <kwtindall@_!NEGSPAM!_cox.net> wrote in message
news:d94ab.55712$uh6.7413@lakeread05...
with the tumor on it, depending on what the biopsy says. Is there any
questions related to diabetes that I should ask? Should I make him aware of
my diabetes, or does it not affect the surgery at all?
The surgeon will need to know EVERYTHING about your medical situation.
Not just diabetes, but any drugs (Rx or OTC) you take, including any
supplements. Pre-op testing will include things like metabolic panel & any
particular-to-your-condition tests, and since you're diabetic perhaps also
dm-related tests.

They may also require an ekg -- I once had to have one only 4 months since a
previous one, since the hospital required one within 90 days.

When I've had surgery as a diabetic, they were insistant about scheduling me
for first-in-the-morning.

I also requested "no-dextrose" in my iv going in to surgery -- I don't need
it. Unfortunately, at some point the Ringer's got replaced with dextrose,
and did exactly what I knew it would -- elevated my bg & kept it up, not
real high, but why should I have to put up with that? Next time (if there is
a next time), I'll take stronger measures. But this is something for you to
consider & consult your dm doc about too -- how will your bg be managed
while you are "out".

You may find that a hospital's idea of food suitable for a diabetic has
nothing to do with yours. Liver-involvement may also affect diet -- you may
want to discuss this thoroughly with the doctors _and_ the hospital food
department. Some places are better than others in how much choice you're
given.

Be sure that you have it written in your chart that YOU will control your
diabetes (if you will). I don't know what your op entails, but unless you're
really "out of it" you should be able to do your own testing/dosing if you
have your stuff with you -- although the staff may still want to test you
with their meter (I recommend you do your own lancing for them if
possible -- they can stab *hard*!).

You may also need to discuss with your endo, diabetes educator, or somebody,
about any changes you may need to make to your dm management due to the
stresses of surgery, possible dietary changes, reduced activity, etc.

That's all I can think of right now.
Good luck.
bj

You MUST tell the surgeon everything. Including the meds that you take plus
vit. and aspirin.
If you are taking Metformin (glucophage) you should stop taking it for at
least a week. This med affects the anesthetic .
Ira
glucophage 500mg twice a day
I AM IN CONTROL AGAIN!

"StrandgecK" <kwtindall@_!NEGSPAM!_cox.net> wrote in message
news:d94ab.55712$uh6.7413@lakeread05...

Yes , and you MUST BE SURE that the anastheologist ALSO knows exactly
all about your meds...so there is no fatal conflict between your meds
and anasthesia !!!

tim

"Ira Jamison" <shrimplomaine@hotmail.com> wrote in message news:<bkcqq0$aaf1$1@ID-195378.news.uni-berlin.de>...