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Controlling Diabetes in the Hospital 

Taking Control Of Your Diabetes
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Whether planned or unexpected, a visit to the hospital can cause added stress when managing diabetes-and it’s important to advocate for yourself to get the right care. Dr. Pettus is sitting down with in-patient hospital management expert, Dr. Tricia Santos, to discuss what people with diabetes need to know when going into the hospital. They’ll cover how medication doses may adjust, the ability to use devices, and how to capitalize on all the extra time spent around doctors!
Taking Control Of Your Diabetes® - The Podcast!
Episode 25
April 10, 2023
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4 сен 2024

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Комментарии : 22   
@montanamike53
@montanamike53 Год назад
I just spent a month getting daily electron beam therapy for a basil cell carcinoma. The treatment center had a little lock box just outside of the treatment room to use for my Tandem pump and G6 Dexcom transmitter (using a guitar pick to temporarily remove my G6) which I removed before and reinstalled after transmitter signal returned 5 to 10 minutes later and I was go to go. Hospitals and staff are starting to get lots better in regards to Diabetics.
@TCOYDtv
@TCOYDtv Год назад
That's awesome, Mike. Thanks for sharing.
@FightBackAgainstDiabetes
@FightBackAgainstDiabetes Год назад
*You Did Not Choose To Be Classified As Diabetic, But You Can Choose To Fight Back Against Diabetes* 💪
@Gypsy218
@Gypsy218 Год назад
This is great, thank you. As an older T1 I’ve had to figure out a lot of this on my own and actually the help of other diabetics online was the most helpful for what to do before colonoscopy. My endo nurse practitioner just said decrease Tresiba but wouldn’t say by how much. It was nerve racking. They’ve started using one of the nurse practitioners in the hospital but I’m not sure what she does. It’s really my biggest concern if I would have to go in the hospital. It’s great that you guys understand.
@TCOYDtv
@TCOYDtv Год назад
Thanks for sharing your story, the online diabetes community is so awesome!
@jcclark2060
@jcclark2060 Год назад
I feel as a T1D you must be your own advocate for your treatment in the hospital. In my last hospitalization, the nurses forgot to give me my insulin for 3 hours after I ate my dinner. They then didn't wake me up overnight to check my BG per my request. I am wondering if they ever took "Hospital" off of their signs as I don't believe they meet the standards of care for a hospital.
@TCOYDtv
@TCOYDtv Год назад
Thanks for sharing your story. Unfortunately not all providers are well versed in diabetes, it's so important to be your own best advocate!
@terryorourke6347
@terryorourke6347 Год назад
In the case of a T1D who is using a CGM, pump, and automated Insulin dosing algorithm, who is actually in control? Who is responsible for the system settings? What if I don't agree with the 100-180 mg/dL glucose target? It's my perception that almost every hospital will pull the pump and CGM unless a competent and well-informed patient steps forward. I'd love to see a shared aesthetic emerge.
@jasonbengel
@jasonbengel Год назад
Agreed. Type 1s may not like the "diabetic meal" and even struggle dosing for it over a longer window. It's luck as to whether the staff will work with a shared responsibility.
@TCOYDtv
@TCOYDtv Год назад
In the best of all worlds, you are totally right. However, there are many factors that may lead to the ultimate decision of who is in charge. If you’re going to be under anesthesia for a long period of time (and/or in the ICU), 99% of hospitals will put you on an insulin drip and take you off your system. On the other end of the spectrum, I just had knee surgery that was only 2.5 hours long, and I handed the anesthesiologist my CGM reader. He held it and I put my hybrid closed-loop in exercise mode, and it kept me at 150 from midnight until I finished surgery. The end result is you may not have a choice, but always being proactive and speaking to the anesthesiologist and surgeon well ahead of time is always a good thing if you’re going to have surgery.
@TrekkerPat
@TrekkerPat Год назад
Thank you, very interesting. Thankfully, I have not been in hospital since going on a pump about 14 years, but ya never know.👍
@TCOYDtv
@TCOYDtv Год назад
Exactly! Always good to be prepared just in case!
@leeanthony3138
@leeanthony3138 Год назад
On my last admission I ensured my insulin was put in the computer as PRN, as needed. That was fine most of the time, but because I'd hardly been eating before my admission, someone cancelled all of my insulin, including long-acting. I had to insist upon having a doctor come to change that. I also forgot about meals. The hospital was still using the ancient exchange system. My carbs were very restricted and I desperately needed to regain lost weight. I needed those carbs because I was at a dangerously low weight.
@TCOYDtv
@TCOYDtv Год назад
Very scary 😬
@buzzelectric6185
@buzzelectric6185 Год назад
I'm a type 2 diabetic with CLL (leukemia) and needed a PET scan. The hospital's scan department knew nothing about any of the new type of meds I was taking (Jardiance, Mounjaro) and therefore just told me no fast acting insulin (Lyumjev) after midnight yet I wasn't eligible for the test if my blood glucose was over 200. I was scheduled for 2:00PM. I failed to keep it under 200. Probably because of the stress. I had to then insist a 7AM testing but I went to low 68 and dropping when I went in. They still did my 45 minute test and didn't monitor me during the test. I wasn't wearing my CGM because Dexcom says no for PET SCANS. Luckily I had my glucose monitor with me with glucose tablets and juice boxes. I was almost blind at that point 55. I had to sit in my car for 45 minutes to get my blood sugars up to 100. Trishes team philosophy scares me also. How do we get Hospitals into this decade. They don't really want to help. My endocrinologist says that is how hospitals are. She is the head of the endocrinoligy department at the hospital in the next town over and has no sway over her own hospitals. I'm afraid of hospitals for this reason. With CLL I may have to go in. My obituary will say the hospital killed me!
@TCOYDtv
@TCOYDtv Год назад
I feel your frustration, as the in-patient care of people with diabetes is so far behind reality. It’s hard to believe. Even major medical centers like where I work, they do things backwards. In addition, there are restrictions with insulin and PET scanning as well, otherwise the results will not be valid. The best thing I can tell you is do not worry about short-term blood sugars that are out of range, or low blood sugars, and try to communicate with the doctors, radiologists, etc long before you have to get this type of procedure or go into the hospital. I feel your pain.
@carmadariacompaniona4181
@carmadariacompaniona4181 Год назад
This doesn't apply to this video, but some of the videos that have translations into French have not been correctly translated. Sorry to say this but the translation comes across as a rough Google translation at times. For example, the video entitled, " Êtes-vous "acing" votre diabète? Si oui, cette session avancée est pour vous!" That's bad! In fact, Google translate (Est-ce que vous « maîtrisez » votre diabète ? Si oui, cette session avancée est pour vous !") is much better. Maybe, you need to get someone to double check the translations.
@TCOYDtv
@TCOYDtv Год назад
Thank you Carma. We actually do have someone in France who is doing the translations, but thank you for letting us know!
@cavingreen4920
@cavingreen4920 Год назад
My mother had a stroke and gotta eat through a tube so what foods can she eat cause the food that they are feeding her is high in sugar so what kinds of food can they give her
@TCOYDtv
@TCOYDtv Год назад
Sorry to hear about your mom. The dietitians choose the tube feeding and it's pretty much set. It does have nutrients in it and it has to be able to travel via the tube. That is not something for you to worry about.
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