In a couple of weeks I am going to have surgery. The surgeries are a UPPP (Uvulopalatopharyngoplasty), Tonsillectomy, Septoplasty, and Turbinate Reduction. Basically they are going to slice and dice inside of my nose and the back of my throat. The hope is that it will get me off of CPAP and fix my sleep apnea.
My questions are about how to best control my sugars pre and post op.
My current meds to control my sugars are 1000mg Metformin twice daily and 40 units of Lantus each morning.
I have talked with the surgeon, my GP, and DE and asked each of them how I should change dosages in preparation of the surgery but I haven't gotten any definitive answers, which has me concerned. I know I will be fasting for 12 hours before. Add in surgery prep, the surgery, and post op recovery, I could be looking at 15 hours or more without food and I certainly don't to want to go too low.
What I am planning to do right now is to stop the Metformin a couple of days before. The day before I will take only half of the Lantus I normally do. Shortly before I am going to begin fasting I will eat a higher calorie/sugar/carb meal, nothing too out of control, but just something that will increase my sugars a little more than normal so hopefully give me more time. On the day of surgery I will not use any Lantus. Does this sound reasonable?
After the surgery I have concerns about how to maintain my sugars when I will have challenges eating solid foods for a few days (up to 10 days according to my doctor). In this case, I am planning on resuming my normal meds routine and to expect my sugars to be higher than normal as my diet will include softer sugary foods like ice cream, pudding, and jello.
This is not only my first surgery after being diagnosed type 2, but its also my first surgery ever, so I am very nervous and any insights and suggestions will be greatly appreciated.
My questions are about how to best control my sugars pre and post op.
My current meds to control my sugars are 1000mg Metformin twice daily and 40 units of Lantus each morning.
I have talked with the surgeon, my GP, and DE and asked each of them how I should change dosages in preparation of the surgery but I haven't gotten any definitive answers, which has me concerned. I know I will be fasting for 12 hours before. Add in surgery prep, the surgery, and post op recovery, I could be looking at 15 hours or more without food and I certainly don't to want to go too low.
What I am planning to do right now is to stop the Metformin a couple of days before. The day before I will take only half of the Lantus I normally do. Shortly before I am going to begin fasting I will eat a higher calorie/sugar/carb meal, nothing too out of control, but just something that will increase my sugars a little more than normal so hopefully give me more time. On the day of surgery I will not use any Lantus. Does this sound reasonable?
After the surgery I have concerns about how to maintain my sugars when I will have challenges eating solid foods for a few days (up to 10 days according to my doctor). In this case, I am planning on resuming my normal meds routine and to expect my sugars to be higher than normal as my diet will include softer sugary foods like ice cream, pudding, and jello.
This is not only my first surgery after being diagnosed type 2, but its also my first surgery ever, so I am very nervous and any insights and suggestions will be greatly appreciated.