If a patient is diabetic, can they wear a Dexcom CGM and insulin pump during surgery?

Question

I'm a mom of 2 and I recently had a hysterectomy in April. I'm wanting a tummy tuck but I need to lose weight first. I have Dexcom due to hypoglycemia unawareness and an insulin pump, would I be allowed to keep them attached to me during surgery? My A1c is currently 6.4 and I have had my gallbladder removed, a c-section and hysterectomy with no healing complications in case you are wondering.

Peter D. Geldner, MD · Answer

I have operated on many diabetic patients over the past, some who require insulin pumps as you do. Typically, they remove the pumps during the surgery and for the next several days, but only under the guidance of their medical physician. Whether it's an endocrinologist, internist, or family physician,they know what you need under the stress of surgery. Typically, the blood sugars are allowed to be less tightly controlled until you're eating your normal diet. You might need to use various insulins as you did before the pump. The HbA1C of 6.4 is not bad at all! Make sure that your doctor works closely with your plastic surgeon for your best outcome.

David Finkle, MD · Answer

Diabetes affects multiple body systems and this increases the risk of infection and poor wound healing after any surgical procedure.  If the blood sugars are carefully regulated during and after the surgery, then elective procedures, such as a tummy tuck can be performed.  As for the insulin pump, you will probably need to remove that during the procedure and then replace it after the surgery is over.  Your blood sugars will need to be checked before, during and after the procedure and insulin can be added by the anesthesia personnel.  Since you did well with your previous surgery, you should do well with future procedures.Good luck!

Ven Erella, MD · Answer

Thank you for your question. TT can be done and your sugar will be monitored during the surgery. Previously you underwent surgeries without issues, that is a good sign. Please work on your weight and consult with a board certified PS for evaluation.

If a patient is diabetic, can they wear a Dexcom CGM and insulin pump during surgery?

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