I had been advised by a nurse educator, who was familiar with pumping during birth, to leave my pump on during a caesarean with the basal running at half the normal level. However my endo told me that the anaesthetist would probably want me to "turn it off" due to fear of me going "hypo" during the operation. She said she did prefer the pump to be off. So I took it off just before the operation.
My bsls rose slightly to around 8.0 or 9.0 by the end of the procedure (I tested my bsls in the recovery room). I didn't put the pump back on for some hours after the caesar, mainly due to my mind being on other things (!) and also because my endocrinologist felt I would either not need insulin at all for a couple of days or need just a small amount.
I remember that my blood sugar levels did rise considerably by the early afternoon so in retrospect I believe that I should have left my pump on, with just a very small basal.Posted by patton at March 03, 2004 08:17 AM