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Insulin for a Diabetic Before Breast Augmentation?

asked 1 year ago by fenamarie in Windsor Ontario
Latest answer by Peter A. Aldea, MD
Question viewed 1,191 times
Tags: diabetes, insulin, sugar

hello, I am 39 years old and have type 1 diabetes and having breast augmentation June 16. My concern with this is not being able to take insulin before surgery and sugar levels being too high. My surgery will take place at his facility. What is used in the intravenous during surgery and will they correct sugar levels if too high or too low. Thank-you Tina

4 answers to Insulin for a Diabetic Before Breast Augmentation?

+1

Managing Diabetes Before and after Cosmetic Surgery

In the interest of safety to prevent potential flooding of the lungs with acidic stomach contents we ask ALL our patients not to eat or drink anything after midnight the night before surgery. This will result in some dehydration and some dropping of the sugar level in non-diabetic patients and removes the need to compensate for raised sugar levels (associated with breakfast) in diabetics. As soon as you are made ready for surgery, an IV will be started and you will receive fluids throughout... more
Peter A. Aldea, MD

Memphis Plastic Surgeon
+1

Diabetes and cosmetic surgery

For most cosmetic surgery patients who are not seriously and undergo more minor or shorter time operative procedures like rhinoplasty, blepharoplasty, breast augmentation, liposuction etc. the no insulin-no sugar approach is adequate. The patient is fasted before and during surgery, takes no insulin the day of surgery and is given no intraveonus sugar Just as important are measures taken before and after surgery. Since diabetics are more likely to have coronary artery disease and... more
Aaron Stone, MD

Los Angeles Plastic Surgeon
+1

Insulin for diabetic before breast implant surgery--follow your doctor's recommendation!

If you are having surgery, you will not be able to eat after midnight the day before surgery, so taking your "normal" morning insulin dose would NOT be advisable. Your serum glucose should be checked when you arrive for surgery, and appropriate insulin dosage can be tailored for you at that time. If your surgery is scheduled for late afternoon, you may be allowed a light breakfast at 4 or 5AM, but your stomach should be empty at the time of surgery, and gastric emptying times... more
Richard H. Tholen, MD, FACS

Minneapolis Plastic Surgeon
+1

Glucose Should be Checked

Every diabetic should have a preoperative finger stick just prior to surgery. Insulin can be given at that time if necessary. It should also be monitored intraop and post-op until you are back on your normal meds. This is very standard practice. Good Luck!
Brian Klink, MD

Sacramento Plastic Surgeon

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