Pre surgery concerns

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Pre surgery concerns


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Old 11-30-2016, 18:49   #1
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Default Pre surgery concerns

I have to get teeth extracted tomorrow. They said to call the day before, but I was trying to get a hold of them before that to clear everything. I'm not comfortable with their instructions. Nothing to eat or drink after 12am which I expected. What I didn't expect was the surgery isn't till 11am. I should add I'm going to be put under anesthesia. So I was told I could have 4oz of apple juice between 12am and 9am. By noon most days I've already had 2 quarts of water. I'm always thirsty. The big thing is that they said no to take my insulin, I'm type one, insulin dependent. I also have DP and the way I've been dealing with it is to eat a small amount and take some insulin. I've afraid my BS is going to spike then crash. Or just keep going up and I'll end up sick. They said to call tomorrow if I have any problems. But I wonder if this is the normal treatment for a diabetic. It's just making me nervous.

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Old 11-30-2016, 19:02   #2
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The after-midnight instruction is pretty boiler-plate which seems to be given regardless the time one has surgery the next day. My experience is that this has been relaxed a lot. I went under for dental work and was able to drink water up to 2-3 hours before.

Here's something I found on this: Is a Ban on Drinking Water Hours Before Surgery Necessary? - The New York Times

I don't know how insulin factors into this at all, and since I'm not a T1 can't even try to speculate. On the face of it, it seems counter-intuitive to drink apple juice while not taking insulin, unless they mean to correct a low.

I'm with you - I'd want to talk to the anesthesiologist and go over these points in detail vs the generalized instructions the office probably gives all patients.

Good luck! And let us know what you learn.

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Old 12-01-2016, 03:08   #3
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I hope you are including your diabetic doctor or GP in this process. No one here is really qualified to tell you what to do with the limited amount of information we have.

Ask you doctor the questions you are asking us......! I would be concerned also...but I am not a type I ...so my comments are not good....

Good luck

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Old 12-01-2016, 18:25   #4
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Default This may be useless advice,

but I had a tooth extracted yesterday and pre-op they offered to give me full anesthesia, which I figured was total overkill so I asked for nitrous oxide, which at first they weren't so thrilled with but then ended up using. I just fell asleep and it was over before I knew it. Now this may simply not be an option for you, but if it were, that would get you around the whole fasting/insulin/worry business.

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Old 12-02-2016, 18:00   #5
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@Annageckos Did you get everything figured out?

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Old 12-02-2016, 18:18   #6
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Quote:
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@Annageckos Did you get everything figured out?
I canceled the appointment. I just wasn't comfortable with it. I'm going to look for another oral surgeon. This guy doesn't start until 11am.

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Old 12-02-2016, 21:24   #7
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You made a great decision, if you do not feel right about a doctor or procedure....don't do it till you find someone you can trust.

I am 66 and have been type 2 for 10+ years. I had an oral surgeon pull one of my lower back molars 4 weeks ago. Since this tooth already had a root canal the pain issue was limited. The reason I had it pulled was because the idiot dentist that did the root canal messed it up leaving me with an abscess under the tooth. He sent me to a 'specialist' to redo the root canal, but when he said no more than 75% chance of success....I chose to have it taken out.

The guy that pulled it for me gave me 2-3 shots of Novocain let it work well for few minutes, then he proceeded to pull the tooth, it was a bit noisy, but relatively painless. He had me in first thing at 8:30 and I was home by 9:30, I had to be careful about eating for a few days, but noting I could not handle, and the pain was minimal, Advil was all I ever needed.

Good luck, find a good Oral Surgeon who will work to your schedule and needs...if you live in the Kansas City area, let me know and I can give you the name of the guy who did mine....

Good Luck

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