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Post-Operative Blood Sugar Checks and Insulin Infusions (7364)

Post-Operative Blood Sugar Checks and Insulin Infusions (7364) - Clinical Hub, Patient Education, Health and Nutrition Facts For You, Cancer, BMT, Hematology


Post-Operative Blood Sugar Checks and Insulin Infusions
Gynecologic Oncology

Many things can affect healing after surgery. One is having normal blood sugars. If
blood sugar levels are too high, patients are more at risk of a surgical site infection. This
is true for patients with diabetes, are borderline diabetics or have not been diagnosed.

There is an after surgery blood sugar and insulin infusion protocol. We want to let you
know how important this is before you have your surgery. If you end up with an infusion
you will understand why.

Whose blood sugar is checked?
ξ All patients who have a history of diabetes or have borderline diabetes
ξ All patients who have had a laparotomy (open surgery) or vulvectomy (removal
of the outer folds of skin surrounding the vaginal entrance)

Who is started on insulin infusion?
ξ All patients who have a history of diabetes or have borderline diabetes
ξ All patients who have had a laparotomy or a vulvectomy with blood sugar levels
greater than or equal to 177mg/dL (milligrams per deciliter) after surgery

Information on Insulin Infusions
Obtained from HFFY Insulin Infusion

What is insulin?
Insulin is a hormone that is made by the pancreas. Your body uses the sugar in food as a
source of energy. It keeps blood sugar levels normal.

Why do I need insulin now?
There are many reasons why you might need an insulin drip. Stress can increase your
blood sugars. If you just had surgery, your body is under stress. Some people notice
their blood sugars go up when they are worried or anxious. If you need medicines such
as steroids, your blood sugars might increase as well. Changes in your diet or activity
levels can increase your blood sugars too.

What is an insulin drip?
Instead of giving a shot an insulin drip goes through an intravenous line (IV). Insulin
given through an IV gets into your body faster bringing down high blood sugars.

What are normal blood sugar levels?
Normal blood sugar levels are 70 – 100 mg/dL when fasting and before meals. The
normal levels after meals are 70 – 140 mg/dL.

How often will my blood sugars be checked?
Your blood sugars need to be checked every hour at first. If these stay steady, you will
be checked every 2-4 hours. Blood sugar levels can change quickly. This is why we
check so often.

Your health care team may have given you this information as part of your care. If so, please use it and call
if you have any questions. If this information was not given to you as part of your care, please check with
your doctor. This is not medical advice. This is not to be used for diagnosis or treatment of any medical
condition. Because each person’s health needs are different, you should talk with your doctor or others on
your health care team when using this information. If you have an emergency, please call 911.
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