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Early Morning Bloodwork and Medication?

Don't know the answer to this...

If I'm having early morning fasting bloodwork I take my insulin as usual when I get up, or wait until it's done and I've eaten.

Technician at hospital didn't know for sure ...but said it probably didn't matter.

I'd wait until you were done, just so you don't risk bottoming out.

Thanks Tiffany. One of these days I'll master this!

I am not on insuling, orals, but I think the idea is the same. If you aren't eating, you don't need to take the meds. I don't take mine in the morning when I have fasted. I had two surgeries (non-diabetes related) and for those I did not take the meds in the morning either.
It really depends upon your body and how it reacts to your insulin and medications and the procedure being done. When in doubt call your doctor and ask.
As for me: I take lantus (basal insulin), metformin, and januvia. With me I know it takes about 1 to 1 1/2 hours for the lantus to kick in fully.

For me I check my bG first thing upon getting up. If I am going to get my routine bloodwork I will use my bG test to determine when to take the insulin. If my bG is 100 or more then I will take my insulin before going for the routine blood work as long as it will not be more than 1 1/2 hours until I eat. If it is going to be longer I will bring the insulin pen with me and inject shortly before I eat.

For other tests I contact the doctor and discuss my medication and when to take it in relation to the test being done.

Be sure to contact the doctor a few days before the test to ask questions to allow time for them to contact you.


Funny you should say that.
I ask each time and everytime I have to fast and it is the same thing, it is like I am the only diabetic they have ever known. There is a blank silence if I am on the phone; and a blank stare if I ask in person. Doesn't matter which doctor or type of doctor, nurse or whoever.

I was finally told, before my last surgery, not to take the meds the morning of the surgery, just the blood pressure med with as little water as needed. She said if I feel like I am going to go low before I am scheduled to go in, to call and come in early and they will hook me up to an IV so I don't go low. That was the only time I was ever told what to do before any procedure that required fasting and it turns out it was what I have been doing all along.

Get this, the last time I had to fast for a blood test, I told them I was going low and really needed to be able to eat, and if they could, to please just get me in and take my blood. Nope. The lady said to tell the desk at the lab when she was done getting the info she needed.

I told the nurse at the desk at the lab area. Nope. It will only be 5 minutes. I knew better. There were a LOT of people waiting. It was weird. I get there early to avoid the crowd but that morning it was crowded.

I felt it start tumbling again. I was just about to leave, have something to eat and then go back and give them a piece of my mind because I was going to have to do it all over again! Then they called me in. The nurse asked how I was doing, I asked, "Do you really care? Just take my blood so I can eat."

I checked when I got to their cafeteria when I sat down (It was just down the hall). It was down to 56!
If you get that kind of response at the lab again I would ask the person. Are you ready to call the paramedics when I pass out in a few minutes and are you ready for the law suit that will follow for needlessly endangering my life? If you suspect you are going low take your bG right away so that you can tell them what it is.

Remember you can always come back the next day for the test and arrive earlier. So don't wait too long before taking some fast acting glucose.

Also, file a complaint with the clinic or lab about your treatment by their staff.
You should also ask your doctor to speak with the lab management about the dangers of a diabetes patient having a hypoglycemic problem while at the lab for fasting bloodwork. My lab and test staff have always been very good about working with my diabetes. Example: for colonoscopy they tested my blood a couple of times to make sure my bG was okay prior to the test and before I was allowed to leave. I have not had a problem with a hypo incident for routine fasting blood work so I can not say how they would have reacted.

To prevent the waits for my routine fasting bloodwork, I try to arrive at the lab 15 minutes before they open so that I am at the head of the line and can get in and out fast. My lab is open on Saturdays and that is usually a good time to arrive early and does not interfere with work.

Thanks for all the help! I agree with "carb on" sometimes feels like I'm the first diabetic anyone has ever seen. Believe it or not, I got two different answers from two different doctors, so it's not like I wasn't trying. But, I thought I'd get more helpful info from other diabetics.
Went at 6:30am and was first to go and then went home and ate my usual cottage cheese, cantalope and raisin toast before running off to work. It felt like a feast! Thanks again.
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