Re: rant
- From: percy <vbeausoleil@xxxxxxxxxxx>
- Date: Fri, 30 Mar 2007 19:43:30 -0500
Jerry Vrooman wrote:
ray wrote:
Had ocassion to spend some time in the hospital on Tuesday with a kidney
stone - ER from 1:30-4:30 AM then back for a stent placement to wait for
lithotripsy. After the procedure, coming out of anasthesia, so the nurse
takes my BG (I told everyone up and down the line I'm T2) - and she says:
147, perfect. My reply, of course, was, no 85 is perfect. Later talking
with nurse anesthetist concerning the upcoming lithotripsy. They want me
to stop taking metformin two days before - evidently the concern is that I
will go hypo during the procedure. I try to explain that metformin is an
insulin sensitizing agent, not insulin stimulating, so chance of that is
nil, and my BG will shoot up. How high? she asks. Probably around 180-200
I reply. No problem she says. BTW I have searched for complications
regarding kidney stone treatment and metformin, and the ONLY precaution I
find is that it should be discontinued if a contrast solution will be used
- which, as far as I can tell, it is not.
I have some more discussions planned with my doc and the anesthesiologists
- will be interesting to see how this all plays out.
I understand that medical staff often encounter folks with diabetes who
are not doing a very good job of control. You'd think they'd be excited to
find someone who actually takes it seriously and is trying - but I guess
you'd be wrong.
I went to the hospital around thanksgiving and had a couple of stents put in. Then I went back in January and had a stone removed from my bladder. The stone was big and hard and it took the doctor over three hours to break it up with a laser. He then shaved a little off my prostate.
In this hospital they put you on insulin even if you are only a T2. It is just as well because the hospital food is really starchy. If you have been controlling your BGs by eating a low carb diet you are out of luck. You may occasionally get a piece of meat, but generally it is eat carbs or starve. Your insulin dosage is based on whatever your last blood sugar reading was, not on what you plan to eat. My BGs were in the 200s (occasionally over 300) most of the time I was in there so I wasn't really impressed with the insulin.
Jerry Vrooman
Tack on at least another hundred points if you hadn't had the insulin. It was working, you just weren't given enough to get to 100. 150 - 200 is probably what they were aiming for.
The medical profession, as a whole, is terrified of the spectre of hypoglycemia, IMO. I mean *really* terrified. Since the majority of diabetics are in poor control, 100 may make them have low symptoms, a la false hypo, but at 200 it's pretty much guaranteed they won't.
The big 'ol CYA.
Vicki
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