After a long day monitoring my blood glucose which came up 491 this morning for no good reason after days of good levels, I have finally made it home. Exhausted to a frazzle and ready to climb into my own bed, I will catch up on details tomorrow.
The funny part of today was this. Everyone was asking if I had had steroids in surgery, a not uncommon procedure. No one seemed to know, and the going answer was no, I had not. Apparently, steroids can cause a marked rise in blood sugar levels.
Throughout the day I noticed that my face was becoming quite swollen and flushed, but I paid it no mind as I was not particularly concerned about cosmetics or pretty much anything else but sleep and consuming fluids to keep my throat lubricated. Throughout the the day the question rose and waned: Do you know if you had steroids in surgery.
Tonight around five o’clock the entire neurosurgery team, including the chair and my surgeon, stopped by, although others from the department had been in earlier a couple of times to check on me and make sure all was fine. When Dr. Delashaw stopped in, I asked him immediately whether I had had steroids, and he said, yes and yes, like at least two types, which he typically administers before surgery. Everyone started laughing. Finally, the answer to the mystery of my elevated glucose levels, and, as I thought about it and suddenly realized the connection, the reason for my puffy red face. When I received one chemo a while ago, I used to get the puffy red face about a day and a half after the chemo because of the Decadron® steroid they would give me then. I should have recognized the symptom immediately.
Anyway, they said the glucose readings will continue to drop as I maintain a low-sugar carbohydrate diet until it normalizes.. My readings went to 362, 328 and finally 307 before I left. I will monitor in the morning. At home it is back up to 408. I will be watching it closely.
Tomorrow I need to go to Chao, so it’s back to UCIMC again. This is for the big meeting with my oncologist so we can decide what to do about this cancer’s rampage.
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