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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had ACL Reconstructed. Having High Sugar Levels After Surgery. Ways To Bring It Down?

I got my ACL reconstructed on the 15th of Feb. I am 35, and i am a type 2 diabetes patient since 2008. I take metformin/vildagliptin (1000mg/50mg) twice a day. I was asked to stop this medication 2 days prior to the surgery and was advised to start taking the medicine only 2 days after the surgery(17.02). But my sugar levels, regardless when I check are always high - averaging some 170 fasting . But prior to the surgery, I was averaging 105. Is there a way to bring my blood sugar back to my pre-surgery levels? Or how long will it take for me to get back to normal?. Is this something I must worry about or can I just wait?
Thu, 28 Feb 2013
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General & Family Physician,  's  Response
Hello,
The most likely cause for increased blood sugar levels after surgery seems to be due partly to increased rest and more calorie intake.However there should not be any problem in controlling it.
Make sure to take note of your calorie intake and reduce it partly and if you find that sugar levels are still not controlled,then add another anti diabetic medicine to your current regime.
This can be a sulfonylurea like long acting DIAMICRON.However addition of any anti diabetic has to be done by your treating doctor and not by yourself.
Thanks
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Had ACL Reconstructed. Having High Sugar Levels After Surgery. Ways To Bring It Down?

Hello, The most likely cause for increased blood sugar levels after surgery seems to be due partly to increased rest and more calorie intake.However there should not be any problem in controlling it. Make sure to take note of your calorie intake and reduce it partly and if you find that sugar levels are still not controlled,then add another anti diabetic medicine to your current regime. This can be a sulfonylurea like long acting DIAMICRON.However addition of any anti diabetic has to be done by your treating doctor and not by yourself. Thanks