So, you are planning to have surgery. Your doctor has likely told you to have your glucose levels under good control before you enter the hospital. This is because high glucose levels can slow healing and make surgery more risky.
Something else that's important to think about: What hospital are you planning to go to? Glucose control in the hospital is a hot topic right now, and one you should consider.
Most hospitals use consult services such as an endocrine or a diabetes management team to help patients get control of their glucose levels while in the hospital. This is something to consider when selecting a hospital, as some hospitals don't offer these services. Research shows that for every 50 mg/dL drop in glucose levels, there is a 1.5-day decrease in the length of a hospital stay. Tight glucose control is a key factor in good hospital outcomes.
Clients have shared with me their frustrations with keeping control of their glucose levels while in hospital. Infections, stress, lack of physical activity, and changes in meal and medication schedules can all wreak havoc with your blood glucose levels.
People who don't usually take insulin may even be given insulin while in the hospital. (Not necessarily a bad thing, as tighter glucose control is beneficial.)
Here are some tips to help you achieve tight glucose control while in the hospital:
- Ask your doctor about what you can do in advance of your hospital stay.
- Ask about the hospital's diabetes management plan.
- Ask if the hospital has your diabetes medications on their formulary. If not, bring your own.
- As soon as you are admitted to the hospital, be proactive and communicate with the hospital doctor and nurses taking care of you. Tell them you want to achieve tight glucose control during your hospital stay.
No matter where you find yourself, you are still the person who is going to be in control of your diabetes.
What are your thoughts on and experiences of diabetes management while in the hospital?
