I know a few of you are type 1 (not type 2) on this site.  My question is for the type 1's (insulin dependent).

I'm starting the 2 week clear liquid diet tomorrow in prep for surgery.  I'm anxious and very nervious at the same time.  How were you able to stick to the pre op diet given your special dietary needs.  My dr office is a leader in my area and they are pretty inexperienced w/ Type 1's.  How much basel adjusting did you do during the liquid diet and post surgery?  What did you do to increase blood sugar when you needed to?

I am a Type 1.5 (more like a Type 1) and had RNY in September.  My surgeon ABSOLUTELY did not require me to do that crazy pre-op diet because of my dietary needs.  He told me not to change anything actually, because keeping my blood sugars stable prior to surgery took precedence over everything!  I would encourage you to talk to them today and ask not to have to do that.  All I had to do was fast after midnight prior to surgery. 

As to managing after surgery, please work closely with an endocrinologist - either your own or smoeone in the hospital.  I had both. I didn't need any insulin at all for the first 2 days after sugery, but as soon as I started on anything with calories, I did need insulin.  We started small and worked up because it's better to run a little high than to run too low in the early days. 

Now, it only takes about 15 grams of carbs to treat a low.  In the early days, I used milk or a small amount of juice.  Now I do that, a glucose tab or a small Peppermint Pattie and that does it.  I need fewer calories/carbs to raise my blood sugar.

Call your surgeon's office today and ask them to work with you.  Mine was happy to do it when I asked - no problem.  And I had mine done at the University of Penn in Philly - quite a well known leader in medicine on the East Coast. 

Good luck and keep us posted!

 half way through day 6 of a 14 day clear liquid pre op diet.  Actually doing okay, to my surprise.  I've adjusted bolus by about 25%.  Starting to get nervious for the surgery but realize that I really have to do this to get my health back.

Glad you are doing well with it!  Best of luck with your surgery!