8/6 in auto collision. Admitted local hospital which is a Trauma Hospital. Turned out no internal injuries only fractured sternum & 4 ribs. Seatbelt injuries. Only in hospital 4 days. During stay Hospital protocol for managing my bg consisted of testing bg every 6 hrs & administering insulin per a sliding scale. Imaging lost my G6 (transmitter). Hosp doctor, Gerontologist, couldn’t understand how I could use my Tandem t:slim x2 without the CGM. I was in terrible pain & gave up trying to explain. At another hospital I was always allowed to self-manage bg with whatever pump I had. I considered protocol irrational considering insulin needs of a T1 - Basal, meal boluses, bg correction boluses. The protocol of hospital only addressed giving corrections. My bg was high entire 4 days. At times complained of feeling sick bc of high bg. I in no way fault the nurses bc they had no authority to proceed without an order from a doctor. 30" later I would receive additional units of insulin for correction. My need for basal insulin nor the need for bolus at mealtine was not part of their protocol. I have received many suggestions of who I should have called or what I should of done. My only concern, & continuous need during 4 days was pain relief. I survived seemingly no worse for the wear.
I posted my experience on fb page, Dexcom G6 & Diabetic Stuff. Seems a lot of hospitalized diabetics have had experience of being allowed to self-manage bg using pump with or without CGM. However many diabetic readers posted their own horrific experiences of bg mis-management by hospital policies. None of us should be judged bc of what we did or didn’t do at the time we were hospitalized. The experiences are so wide & varied I believe a solution for good bg managementvduring hospitalizations lies in larger medical organizations addressing the issue. I want to raise awareness of this issue at a level above local hospitals. To that end I have sent an inquiry via email to JACHO. Every health institution deals with JACHO. I plan ro develop a concise explanationof the issue & create a standard letter for larger hospitals & organizations who may be able to address the issue. The University Medical Center where I go for pump management has an internal committee to work on having a beneficial protocol for bg management throughout the medical center.
If you have had a good or bad experience of bg managenent during hospitalization feel free to share. Suggestions of organizations to contact will be accepted.
PS. I want to add the nurses in both IICU & on Med floor were incredibly kind & caring in trying to make me comfortable.