Hospital Stay & Diabetes Management

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Hospital Stay & Diabetes Management


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Old 08-19-2010, 05:46   #1
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Default Hospital Stay & Diabetes Management

When I was in the hospital the first week of August, I was concerned about how I would manage my diabetes. Medications are usually given 4 times per day except PRN meds. The hospital did not use carb counting so I needed to come up with a sliding scale for my Novolog injections. With the help of my doctor, we came up with a decent dose that would cover meals, the increase due to infection and to cover the increase in blood sugar due to the steroids that I am on. We settled on 25 units at mealtime and I am used to taking my Novolog after meals but found that this was going to be difficult to get my shot at this odd time so I took the chance and was getting my Novolog before meals, this made me nervous to say the least. And then I was nervous about the size of the carb servings, which were mostly small except for the "modified mashed potatoes" that was served nightly. I would get my blood checked at 6AM, 11AM, 4PM AND 8PM. I remember one morning I tested at 65 and you would have thought this was the end of the world. The nurse brought regular chocolate pudding, 3 packs of graham crackers and a carton of milk and told me to eat up. I ate the pudding but didn't eat the rest and they kept testing my blood glucose to see if it had come up. I explained that this was a low number but not for me. If I would have eaten everything that they told me to, I would have then been high. And what they gave me to eat was not exactly fast acting carbs. I also had several times when I got my Novolog 2 hours after eating and then I was due for more Novolog in 3 hours and refused a couple of shots. Diabetes management really needs to be stepped up while you are in the hospital. If there is a next time, I will have my glucose meter brought from home and will smuggle in my own Novolog. Oh, they also don't stock Lantus so I was using Levemir.

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Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
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Old 08-19-2010, 21:36   #2
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Default Ahhhhh.. BreezeOnBy's Post Presents a Interesting Question..!

As people with diabetes, what recourse or (in this case), action can one take/do when it comes to implementing our daily prescribed medication routine when in the hospital?

Don't you think it would be better for us (being in the know), to continue on the regimented routine we've been accustomed to instead of bowing to the whims of the nursing/hospital staff?

BreezeOnBy brought up something that I had never considered, so..

"What Say You!?"

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Old 08-19-2010, 22:06   #3
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The last time I was in the hospital it was when I got diagnosed. Now that I have a pretty good regiment, it would be hard to just say yes. I think I would get my Dr. on the phone and require that we determine what to do...

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Old 08-20-2010, 00:14   #4
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Originally Posted by Breeze 2 User View Post
As people with diabetes, what recourse or (in this case), action can one take/do when it comes to implementing our daily prescribed medication routine when in the hospital?

Don't you think it would be better for us (being in the know), to continue on the regimented routine we've been accustomed to instead of bowing to the whims of the nursing/hospital staff?

BreezeOnBy brought up something that I had never considered, so..

"What Say You!?"

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I even asked if I could keep the insulin pens with me and one of the nurses told me that was against hospital policy. The injections have to be given by a nurse. Our diabetes management is left in the hands of nurses and hospital staff. I wasn't even able to get a correction bolus when my blood sugar was over 200. There was simply nothing that I could do except not eat and I wasn't about to go hungry. There was a diabetic meal plan with little to no options. You ate what you were brought.

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Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
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Old 08-20-2010, 02:53   #5
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Isn't it a shame that they're willing to compromise a patient's wellbeing just to cover their own butts?




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Old 08-20-2010, 05:21   #6
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Isn't it a shame that they're willing to compromise a patient's wellbeing just to cover their own butts?
You are so right! Get your guns back out!

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Zofran for Gastroparesis
Gabapentin-Neuropathy
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A1C/5.2% April 14, 2010
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Old 08-20-2010, 05:36   #7
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Isn't it a shame that they're willing to compromise a patient's wellbeing just to cover their own butts?
I forgot to mention that I had 2 nurses that left the keys in the medication drawer in my room. I was just busy looking around, since I had nothing else to do and happened to notice the keys in the drawer. That was totally careless and unacceptable. It crossed my mind to take the novolog pen out of the drawer but there were no pen needles on it.

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Breezeonby {Female}
Medications: Metformin ER, Lantus, Novolog
Zofran for Gastroparesis
Gabapentin-Neuropathy
Zocor 40MG, Fish Oil 4000MG
A1C/5.2% April 14, 2010
A1C/5.5% June 1, 2010
A1C/5.2% October 6, 2010
A1C/5.0% February 7, 2011
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Old 08-20-2010, 15:39   #8
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You know, after reading this I starting wondering about it also. Especially if I was in the hospital for something not related to my diabetes control. I think if they even wanted to take my insulin pump away and manage me on injections that they decide I need there would be a real fight on their hands. If I ever have to go to the hospital for something I am going to make sure I talk to the doctor about it before hand. That would simply be unacceptable to me.

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Old 08-20-2010, 16:00   #9
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That would be a key piece of the puzzle - our own docs need to be on board with our self-management.

It sounds ludicrous, but the notion just popped into my head likening this to turning over your bolusing to the waiter when you eat out in a restaurant. Seems to me some hospital staff are about as clueless as the wait staff would be!




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Old 08-20-2010, 16:10   #10
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Quote:
Originally Posted by Shanny View Post
That would be a key piece of the puzzle - our own docs need to be on board with our self-management.

It sounds ludicrous, but the notion just popped into my head likening this to turning over your bolusing to the waiter when you eat out in a restaurant. Seems to me some hospital staff are about as clueless as the wait staff would be!
Crazy isnt it? I was talking once to someone that had an issue with airport security once. They wanted her to take her pump off (for a 4 hour flight) and put it in her baggage. She told them there was no way she was putting her 5000 dollar pump in her suitcase. She also asked them if they required all their passengers to remove their pancreas and place it in their baggage. They finally let her keep it.

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Cheers,
Pam
~*~*~*~*~*~*~*~*~*~*~*~*~*~*
Type 2 since age 16
A1c in March 2010 12.6%
current A1c 6.3%

Currently taking:

Metformin 1000mg twice a day
Neurontin 300mg three times a day
Cymbalta 30mg a day
Symlin injections 60 mcg before meals
pumping with the minimed Revel and novalog
Milk Thistle twice a day
Fish oil twice a day
Nexium once a day
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