Recently Diagnosed T2, Now Hysterectomy

Graylin Bee
By Graylin Bee Latest Reply 2010-07-07 19:34:44 -0500
Started 2010-07-05 08:27:46 -0500

HI
I was told Jan 7 this yer I am T2. Still adjusting but my last A1c was 5.5. My FP and Eye Dr. both happy with that number.
Aug 2 I am sechudled for total Abdominal Hysterectomy. Am wondering how being Diabetic will affect recovery?
I have had 2 leg surgeries, one 5/14 and one 6/24. The Vascular Surgeon has been pleased with my recovery. He also felt it was best to get my veins working better before the TAH.
Both surgeries were outpatient. My BS was 86 before the 5/16 one and 84 after. BS was 123 before the 6/24 then 88 will in pre op. Don't know what it was after, husband took my meter home on his way to work and I went to my Mom's since they didn't want me to be alone for 24 hrs.
Will be in the hosp. for 1-2 days this next time. My question are:
1. Will a TAH be more stressful to my system physically and cause BS to go up? The vein abalation is probably less traumtic than organ removal to the body.
2. I am a little more stressed over the TAH than the vein surgery. Will this apossibly make the BS levels rise? All my Drs. agree that the pevic mass could be causing problems with my veins. Thus I am having the TAH.
3. Will there possibly be any long term changes after the surgery to my diabetes? I don't know if lyphm nodes might be removed or damaged?
4. I am worried about how to manage BS levels for the first week post surgery. Many women seem to have a lack of appetite and or nausea for a while after. I have only had a very mild (10-15 min.) feeling of nausea after the two leg surgeries and was under General Anesthesia for them. The first time I took 2 Ultrams post op and think it may have caused the nausea because I needed no pain meds the second time and had less nausea. I take 500mg Metformin twice a day and that has kept my BS under crontrol. I was diagnosed T2 while in the hosp. with cellulites and MRSA. During my 5-6 week stay I received insulin 10-15 times. I have had none since. Diet and the Metformin have kept me under control. Before both leg surgeies I had nothing by mouth from midnight until after the surgery with no problems. The day before my colonoscopy I had a liquid diet then nothing by mouth after midnight. My BS was 105 before the procedure.


15 replies

ston3xc
ston3xc 2010-07-06 12:28:30 -0500 Report

I had a total hysterectomy in 2005. Everything went ok until about a week later. I reported to my dr about having a sharp pain in the area of the right hand end of my incision. He told me that one of the inside stitches was probably too tight but it would loosen as it healed. Well…a week later( and all this time I was feeling awful, but my blood sugars were mostly ok) i noticed my incision was leaking pus at an alarming rate and went to the hospital where I was given antibiotics, 3 bags, and had to stay another 5 days while the dr redid my incision. He said he should not have put me off when I complained about the sharp pain. Moral of the story- diabetics are more prone to infection so ask, ask, ask about antibiotics and report any problems or concerns pronto to your dr.

Graylin Bee
Graylin Bee 2010-07-06 13:55:13 -0500 Report

Thank you for responding. I will add asking about infection risk to my questions list. Also I'd better find out about the OB/GYN's readiness to see me if I think there is something wrong happening.
I am learning to be a better self advocate. But it is hard to know when and how hard to push.

ston3xc
ston3xc 2010-07-07 19:34:44 -0500 Report

Don't worry about pushing too hard, if we don't voice our concerns the drs won't know if we have any!

monkeymama
monkeymama 2010-07-05 16:48:55 -0500 Report

Hello there! I had a vaginal partial hysterectomy. I had to stay in the hospital for 2 days before I was discharged. i was warned that recovery "might" take a little longer than normal but would go faster if down this way. The hospital took all of my BG wityh their machine and when needed, i was given a shot in my buttock. They did my BG before and after my meals then. Hospital these days prefer using their machines to check BG. Wow, you had the cellulitis? I had suffered a bone infection (osteomilitis) It was thought it was gout or the cellulites. BUT had the other and had to go through similar treatments as a cancer patient would but more. All in all, it will be up to your doctor in how your diabetes will be handled there. How you handle your diabetes at home, might differ from how they monitor it in the hospital. Best of wishes to you and hope for a speedy recovery for you.

Graylin Bee
Graylin Bee 2010-07-05 17:39:39 -0500 Report

Yeah I had cellulitis big time, both legs. The infection didn't make it to the bone. All the nurses came to my room to try out the new Ultra Sound wound care spray mister that was used for me. I sure know how to get attention.
Thank you for the info about your experience.

Kirla
Kirla 2010-07-05 12:29:00 -0500 Report

The biggest problem with surgery, is high-uncontrolled blood sugar numbers. People have a tendency not to heal very good with high blood sugar numbers. Your last A1C and with the reading your talking about, you shouldn’t have much of a problem with your diabetes. Not to sure about all the other stuff, you appear to have excellent blood sugar control and that should help a lot with your surgery.

Good luck
Kevin

Graylin Bee
Graylin Bee 2010-07-05 17:27:25 -0500 Report

Thank you.
Hope I can keep them low. Stress plus me always equaled food in the past. Most days I've been substituting the computer for chocolate, chips, etc. Learning from this site and others has kept my mind of food…at least when I'm not typing about it anyway.

Pat Roth
Pat Roth 2010-07-05 10:52:32 -0500 Report

My own experience is different, but might be helpful, I was type 2 for 3 years, had a malignant mass that had eaten my left kidney, removed last Sept., the hospital did my BS and had something ready to use in case it got too high, but even tho it was 200, they never used whatever they had ready—-after 5 days I came home but didn't have any out of sight experiences, just had to monitor myself as usual—nothing out of the ordinary happened to me. I had been on Metformin but after the kidney cancer, I am to NEVER use that med again as it is hard on kidneys and I had only one left. I am now on Glipizide. Best Wishes!!

Graylin Bee
Graylin Bee 2010-07-05 17:21:05 -0500 Report

Sorry you have had to face Cancer.
Thank you for the encouragement about not having surgery complications due to Diabetes.

RAYT721
RAYT721 2010-07-05 09:57:25 -0500 Report

The most important thing is to address all questions you have with your physician/surgeons in relation to your diabetes. God knows you won't be the first T2 for this surgery so they will surely have the answers for you. Start a list for your appointment and especially address the after post-op nutritional needs you have to alert the hospital dietitian. Good luck to you with the surgery! Please keep us posted.

Graylin Bee
Graylin Bee 2010-07-05 17:17:16 -0500 Report

Thank you for your suggestions. I'll be at the same hosp. as I was at before. The dietician was very helpful in explaining Carb counting to me. I had not thought about talking to her for this surgery.

Harlen
Harlen 2010-07-05 09:14:43 -0500 Report

Hello
As fare as I can tell it shuld not have a big afect but the stress of it may so dont strees out over it lol
When I go in to have something done I bring my own insulin and test strips and all I like to take care of my diabetis my self.
Plus they charge a lot for testing and insulin.
At least here they do.
Best wishes and good luck I hope it all works out
Harlen

Harlen
Harlen 2010-07-05 09:16:36 -0500 Report

PS
great work on your A1c

Graylin Bee
Graylin Bee 2010-07-05 09:49:37 -0500 Report

Thanks.
I will ask my OB/GYN at pre op about bringing in my testing supplies. I had not thought about that. Even though my deductible has been more than met this year I like to not spend more than is needed.
I hope my next A1c is as good. I tend to crave carbs when stressed. And not good carbs either. Most days carrots have been good enough. Yesterday was potato chip and french fries instead. I think I kept them within my daily Carb limit, but may have pushed it up for the to many at one time limit. If my A1c is a little higher next time I plan on blaming the surgery.

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