From:
williamsdvm@comcast.net
Date: 2002-10-29 03:22:13 UTC
Subject: RE: Prednisone and post-surgical hyperglycemia-advice please
To: ferrethealth@smartgroups.com
Message-ID: <3191991.1035861733935.JavaMail.root@scandium>
Dear Chris - 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!)
>
> Thanks,
> Christine