Blood sugar after a major operation

[simanchalratha]

I have been a diabetic since 2012 . My age 49 . I underwent a femur neck (screws were inserted inside femur neck of right hip to prevent AVN)operation due to a fall . On the day before the operation the random BG was 95 in the evening and FBS was 123 on the day of the operation . But suddenly my BG looks uncontrollable and fluctuating in the range 160 to 280 . I had been taking Glimepride 1mg plus metformin 500 SR once a day . Now taking human mixtard 30/70 two times(insulin) at 16 &12 units . The operation took place on 13.9.19 and I am still lying in the bed .Has any one an answer to this phenomenon and will I be able to to restore the original BG level ?

[sandybrown]

You need to see a GP or a doctor for medication review and hospital blood tests!

[gangadharan_nair]

People with diabetes who undergo joint replacement surgery are at sharply higher risk of experiencing elevated blood sugar after the operation, increasing their chances of developing infections and other complications, according to a new study by researchers at Hospital for Special Surgery (HSS) in New York City and The Ochsner Health System in New Orleans.

Even non-diabetics can experience issues with blood sugar levels after a procedure. ... Though all patients are at risk for high blood sugar levels after surgery due to stress, diabetics face even greater risks of complications after a procedure.

Halothane anaesthesia alone did not affect blood sugar levels but relaxant anaesthesia in this study caused significant rise of blood sugar.

Muscle relaxants are medicines that block transmission of nerve impulses to the muscles. ... Muscle relaxants commonly used during anesthesia include rocuronium, succinylcholine, and vecuronium.

Some common medications that can increase glucose levels.

You should do your best to keep your blood sugar 80-130 in order to decrease your risk of postoperative infection and promote healing. Check your blood sugar 2-4 times per day for 4 weeks after surgery. If your blood sugar is greater than 200 mg/dl you should notify your doctor. You may need your medication adjusted.

Food from the hospital canteen may also raise your blood sugar levels.

[Godfrey]

Nothing to worry. Just continue with the treatment, forget the few days of ups and downs. I have gone through similar surgeries. Cheer up.

[sandybrown]

We humans all very different, different medication react differently with different humans.

I was looking after a relative at a hospital for one month after surgery, who did not eat any food from the hospital, only drip fed!!.

Every day three times blood glucose was checked with many other things and this person was put on insulin pump for 24 hours because the BG was increasing who was and is not diabetic!!!!!

[skbhatia]

You are operated on 13.08.2019 not 13.09.19 !

[Activity2004 Administrator in reply to skbhatia]

The date can be written both ways (2019/‘19), skbhatia for abbreviations.😀👍

[simanchalratha in reply to skbhatia]

Sorry Sir...for the typo

[seasider18]

I am T2 but was not on any medication just controlling my diet. After I had my heart valve replaced my BG went up and down to extremes.

They kept on checking it every two hours and one moment were giving me an injection to bring it down and the next toast and marmalade or biscuits to put it up. After a few days it settled down.

[simanchalratha]

Dear friends, first I apologise for the typo...I mean about the date of operation..it was August 13th in fact . I am at home now making movements via WALKER . And there has been dramatic improvement as most of the respondents pointed out ....the fasting is now around 90 to 115 and PP ranges as per the type of food I take, between 135 to 180 . Oats upama makes it the least and white rice drags to the highest . Instead of resorting to sulfonylureas, I am still relying on insulin as it will let my pancreas stay still and rejuvenates itself over time .

Thanks friends for the response