Author Topic: My Heart Operation  (Read 2990 times)

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Offline sedge

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Re: My Heart Operation
« Reply #30 on: 13 February 2018, 10:14:17 PM »
Ordinary pre-ops stay in date for up to 6 months Ann - Pete had to have his re-done cos his prostatectomy was overdue - my pre-op for my cataract op was done on 4th December last year so they wouldn't need another unless it was after 4th June I had it done.

If they need other specialist tests to be done within a different timescale then these aren't part of the pre-op process cos they require specialised staff to do them.
Jenny

T1 DX 1972, pumping Novorapid 24/05/11

HbA1c - 7/07 8.7, 1/08 7.8, 9/08 8.4, 3/09 7.3, 7/09 7.2, 12/09 7.3, 11/10 8.1, 2/11 8.6, 9/11 6.5 2/12 6.4  5/12 50/6.7  11/12 52/6.9  01/13 46/6.4  06/16 46/6.4  12/16 45/6.4

Offline Avocado

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Re: My Heart Operation
« Reply #31 on: 14 February 2018, 07:29:25 AM »
It might be different for cardiac surgery Jenny as six months would be too long between some of the tests and surgery, at least everyone I've know of whose had cardiac surgery has had their surgery done within a few weeks of the the pre-admission test. Since Dr DeEath is having surgery at the Brompton I've got a link to their pre-admission test page: http://www.rbht.nhs.uk/patients/condition/heart-surgery/heart-surgery-pre-admission/  Of course they might find something else wrong and that would delay things....
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline Venomous

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Re: My Heart Operation
« Reply #32 on: 14 February 2018, 08:12:32 AM »
Maybe it's hospital based. My surgery was meant to be done within 2 weeks after the pre-op too.
T2 and PCOS. Just had large serous adenofibroma removed with ovary and fallopian tube. Bp is now normal!

Novorapid, levemir, trulicity, metformin.

Offline Dr DeEath

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Re: My Heart Operation
« Reply #33 on: 20 February 2018, 01:27:13 PM »
Normally the pre-op is done a week or two before surgery so it's a good sign you have been given your pre-op appointment date !

Yes, its Monday 12th. No idea how long it is valid for if everything is OK. Once I needed a second minor op four months after the first and they said there was no need for another pre-op. Another hospital delayed an op for a couple of months (again not major) and I had to do the whole pro-op again! So who knows - I suspect it can be down to individual hospitals/departments and staff. Sometimes I think it is redone to buy time!
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline Pattidevans

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Re: My Heart Operation
« Reply #34 on: 20 February 2018, 02:28:42 PM »
Good luck
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Venomous

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Re: My Heart Operation
« Reply #35 on: 22 February 2018, 01:39:30 PM »
Hopefully all goes well!
T2 and PCOS. Just had large serous adenofibroma removed with ovary and fallopian tube. Bp is now normal!

Novorapid, levemir, trulicity, metformin.

Offline Dr DeEath

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Re: My Heart Operation
« Reply #36 on: 14 March 2018, 01:37:57 PM »
Had my pre-op on Monday and awaiting results. The ECG was repeated as it had expired. Fingers crossed that all is OK!  :)
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline Pattidevans

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Re: My Heart Operation
« Reply #37 on: 14 March 2018, 02:29:14 PM »
Thinking of you DrD.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans

Offline Venomous

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Re: My Heart Operation
« Reply #38 on: 14 March 2018, 05:08:47 PM »
fingers crossed!
T2 and PCOS. Just had large serous adenofibroma removed with ovary and fallopian tube. Bp is now normal!

Novorapid, levemir, trulicity, metformin.

Offline Paulines7

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Re: My Heart Operation
« Reply #39 on: 14 March 2018, 05:59:33 PM »
Good luck Dr D.
Diabetes Type2 diagnosed March 2014.  Treated by diet only.  HbA1c 60 on diagnosis, 52 in June 2014, 50 October 2014, 44 December 2014, 48 May 2015, 50 Sep 2015, 53 Jan 2016, 50 Oct 2016, 56 Feb 2017, 50 Jun 2017. 50 Aug 2017. 47 Feb 2018  Pacemaker fitted 2008 - replaced 2017.

When I get old I don't want people thinking
                      "What a sweet little old lady"........
                             I want 'em saying
                    "Oh Crap! Whats she up to now ?"

Offline Avocado

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Re: My Heart Operation
« Reply #40 on: 14 March 2018, 09:52:29 PM »
Keep us posted !
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline Dr DeEath

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Re: My Heart Operation
« Reply #41 on: 22 March 2018, 01:39:20 PM »
Got an appointment to see my surgeon next week.There were a couple of issues with my blood tests the most relevant one being that my HbA1c was 7.9 and the guidelines are 7.5 or below. Last time I had surgery (not so major)it was 9.0 or below). looking on the web it seems not all NHS Trusts have the same guidelines!  :(
T1 for over 50 years.  MDI on Porcine insulin.  Lisinopril and Atorvastatin.

Offline nytquill17

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Re: My Heart Operation
« Reply #42 on: 22 March 2018, 03:24:04 PM »
Oh dear. That seems quite ill-advised. I understand wanting lower BGs pre-and post-surgery for better healing but it's frankly unrealistic to expect a T1 to be able to maintain a 7.5 when there are also concomitant issues affecting your pain and stress levels and your ability to exercise!! Hopefully they will see reason at the appointment.
T1 DX 1995
Levemir + Novorapid
 
  ~-~-~-~
"If you can't ride, can you fall?"
"I suppose anyone can fall," said Shasta.
"I mean can you fall and get up again without crying, and mount again and fall again and yet not be afraid of falling?"
"I - I'll try," said Shasta.
  ~C.S. Lewis, The Horse and His Boy
  ~-~-~-~
"There is no answer; seek it lovingly."

Offline Avocado

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Re: My Heart Operation
« Reply #43 on: 22 March 2018, 03:39:11 PM »
Hi Dr DeEath - As a result of heart surgery, and in the days following it, everyone’s blood glucose levels rise significantly so that they have to put everyone, even non-diabetics, on insulin for a while until blood glucose levels reduce - I think it’s called insulin sliding scale, it’s done intravenously along with all your other meds at the beginning. It’s probably because of that there is some concern, but they will have a lot of experience with diabetics, I’m sure.
Anne

Atypical Type 2, thin, not insulin resistant, diagnosed March 2007. Very low carb (30 - 50g per day) Paleo diet and exercise - Prandin (Repaglinide) 0.5mg. Aortic Valve Replacement Jan 2014, Osteoporosis, Small airways disease, probable coeliac - Strontium Ranelate 2g/d, Omacor 2g/d, vitamin K2 300mcg/d, Aviticol (vit D3) 20,000 IU every week, Qvar 100 2/day.

Current HbA1c 33 Current total cholesterol 7, HDL 3.5, LDL 3.2, triglycerides 0.4

Offline Pattidevans

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Re: My Heart Operation
« Reply #44 on: 22 March 2018, 06:58:13 PM »
Trouble is Anne, there are many T1s who dread being put on a sliding scale as the hospital parameters are so divergent from our own and it's very hard to relinquish control.  Pity Dr D is not on a pump, cos those who are can usually revert to it and being in control themselves as soon as they are conscious.
Patti


Type 1.  Mis-diagnosed T2 May 2003, finally had CPeptide test 15/7/11 and proper diagnosis 1/9/11.  Now pumping Apidra with Roche Spirit Combo pump. Hba1c 6.1 Sept 2017.  45 (6.3) April 2018.


© 2015 Patti Evans