I just saw the following question:
I recently had carpal tunnel surgery on both hands at the beginning of June. It's now late July and my blood sugar levels are still in the 230s. I take Lantus twice a day. What can I do? I have a constant headache, jaw pain, teeth hurt; can this be making my level stay high?
Something doesn’t quite fit together here. As I understand it, you have had elevated blood glucose levels continuously since hand surgery that was done almost two months ago.
Surgery certainly can cause pain, and pain is a stressor that can raise blood sugar levels. Plus, after most surgical procedures, there’s decreased physical activity for a while, which also would contribute to high sugar levels. With that in mind, I think people with diabetes who are on insulin shots or pumps should be given explicit instructions on what target ranges to aim for post-operatively, and how to adjust their insulin to meet these targets.
Definition Carpal tunnel release is surgery to treat carpal tunnel syndrome . Carpal tunnel syndrome is pain and weakness in the hand that is caused by pressure on the median nerve in the wrist. Description The median nerve and the tendons that flex (or curl) your fingers go through a passage called the carpal tunnel in your wrist. This tunnel is narrow, so any swelling can pinch the nerve and cause pain. A thick ligament (tissue) just under your skin makes up the top of this tunnel. First, you will receive anesthesia (numbing medicine) so that you will not feel pain during surgery. You will be awake but also receive medicines to make you relax. In carpal tunnel release, the surgeon will cut through this ligament to make more space for the nerve and tendons. First your surgeon will make a small incision (cut) in the palm of your hand near your wrist. Then your surgeon will cut the carpal transverse ligament to ease the pressure on the median nerve. Sometimes, tissue around the nerve is remove...
Resources www.aanem.org -- Advancing Association of Neuromuscular and Electrodiagnostic Medicine www.apta.org -- American Physical Therapy Association www.aoec.org -- The Association of Occupational and Environmental Clinics www.aaos.org -- American Academy of Orthopaedic Surgeons www.assh.org -- American Society for Surgery of the Hand www.ampainsoc.org -- American Pain Society www.iasp-pain.org -- Association for the Study of Pain www.aan.com -- American Academy of Neurology www.nih.gov/niams -- National Institute of Arthritis and Musculoskeletal and Skin Diseases www.ninds.nih.gov -- National Institute of Neurological Disorders and Stroke www.nlm.nih.gov/medlineplus/carpaltunnelsyndrome.html -- Information on CTS www.cdc.gov/niosh/homepage.html -- National Institute for Occupational Safety and Health www.workerscompensationinsurance.com -- Resources for injured workers www.keybowl.com -- orbiTouch keyboard www.ergodevices.com -- Hand and wrist support keyboard
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