http://www.smartgroups.com/message/readmessage.cfm?gid=1423922&messageid=2009
No, you don't really need to administer pred or proglycem at this point,
and likely there is no side effect to discontinuing it. If you have a
post-surgical of 435, I'd check on at least a daily basis. That's pretty
high. But it often happens - the rest of the pancreas has "gone to
sleep". But only 7 hours later is a bit early to test. I would usually
wait 24 hours or more.
With kindest regards,
Bruce Williams
Author wrote:
>Hello all,
>
>I'd really appreciate some advice. Jezebel had insulinoma surgery
>today. Right after surgery her glucose was still to low to read and now
>(7 hours post) it's 435. I'm familiar with the transient diabetes so
>this didn't surprise me, but I'm wondering how to continue with her
>medication. She was on a high dose of Pred (1.7ml BID) and Diazoxide
>(0.5ml BID) so how should I taper especially the Prednisone? Are there
>any side effects of stopping Diazoxide or should that be tapered as
>well? I will be keeping a close eye on her glucose levels, how often
>should I be checking? (Fortunately I'm not clipping claws yet, as long
>as her little veins hold out!)
[Posted in FML issue 3950]