I went to bed early enough to get eight hours of sleep the night before surgery. Before I fell asleep, my blood sugar was 168. I lowered by bolus by about 20%. I set an alarm for 3:45 am (9 hours pre-op) and an alarm for eight (to call the doctor's office). Not too long after, I was fast asleep (thankfully!)

At 3:45am, my blood sugar was 185. I ate 45 grams of carbs and bolused for both the correction and food. I decreased the bolus by 15%. I set my basals to decrease by 30% at 8am, since that would put me at 5 hours pre-op and awake (and nervous!).

When I woke up at 8am though, my blood sugar was 233. I bolused, lowering it by 40%. I called the doctor's office to confirm my pre-op instructions and ask about my basal rates before I came in for surgery. The nurse told me that the oral surgeon wanted me to keep my basal rates at a normal level. If my blood sugar dropped, I was only to treat with Sprite.

At 9am, my blood sugar had dropped to 175 with 1.2 units of active insulin left (which should bring me down to around 140). The nerves were setting in as I thought about the coming anesthesia and recovery. I hoped the butterflies didn't send me plummeting.

Another blood sugar check at 10am showed a reading of 145 with 0.4 units of active insulin. As another hour went by, my nerves increased. The butterflies relentlessly fluttered. I felt like getting in my car and driving away. It was confusing to know if I was dropping or just nervous, so I relied on my meter and not my body. Since it was three hours away from surgery, I decided to check my blood sugar every 30 to 40 minutes.

A half hour later, my blood sugar was 131, with only 0.2 units of active insulin left. I decided to drink three sips of Sprite and watch whether I headed up or down in the next hour. At 11:15am (less than 2 hours pre-op!), the Sprite brought me up to 156 calling for a 1.2 unit bolus. I bolused 0.4 instead just to offset any further rise. The butterflies in my stomach should have done the rest.

By 12pm, my blood sugar was 139. So I continued sipping on Sprite on the drive to the office since my nerves were sending me into near anxiety attacks. When I arrived at the office, my blood sugar was 180. I didn't bolus or change anything. Half an hour later, they prepped me for surgery with a blood sugar of 165, although it was another hour before I actually went under the sedative.

As the sedative kicked in, the entire world was lost. My blood sugar weighed in the back of my mind, but overall there was nothing on my brain. Yet the second that I came to, my first thought was about my blood sugar. I frantically tried to understand my pump as the sedative still clouded my head. I heard the nurse say, "We just checked your blood sugar, you're 143. You're okay."