My husband was sleeved yesterday - he's a Type II diabetic, has high blood pressure and some other issues - he's 6'2" 343 lbs going into surgery. Surgery went well and he had no nausea. His pain was controlled with a morphine drip.
We were disappointed in the care with the hospitalist and how that doctor handled his blood sugar or lack of blood sugar control. His blood sugar was a little high coming out of surgery and last night. No insulin was given to him because he was NPO - no liquids until the barium leak test in the AM. No blood sugar checks in the middle of the night until 5 am. He finally got a small amount of insulin around noon along with a tray of sugary liquids to drink after the early morning barium leak test was negative. No sugar free jello or liquids. The blood sugar continued to rise and no visit from the hospital doctor - our surgeon said he might have to stay a 2nd night because of his high blood sugar. The hospital doctor did not answer his pages from the nurse to increase the insulin. My husband told the nurse he refused to stay the 2nd night (we are self-pay) because the doctor was not prescribing the correct amount of insulin and was not coming in to see him to discuss the matter. He was tolerating liquids well, walking and getting around great.
The nursing staff during the day was great and understood his need for more insulin and how frustrating the situation was. The hospitalist never came to see him and released him with a phone call - we got home around 6 pm. He quickly checked his blood sugar and took his needed insulin dosage. His blood pressure is doing great with no meds so far.
He is seeing our internist on Friday morning to go over all numbers and medications. Pretty exciting that we are both on our way to getting healthy together! So glad the hard part is over! God is good!
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