Like "Usually when you have any kind of surgery, they take your medical history and can tell you how to deal with your meds and the pump. Don't worry, as soon as they know you are diabetic, they make sure you stay safe. As for pain meds...I take them everyday and they don't interfere with my sugar count. By the way,,,I had the surgery back in 1997. It was the best thing I ever did. I only needed one day after coming home to feel just fine, but I still followed the doctor's orders. There is almost no after pain and you heal faster than you ever thought. Good luck! You are going to be so happy! Avera"