I recently was hospitalized for an infected gall bladder. I told the admitting physician that I would be managing my own diabetes and there will be no further discussion on the subject. After the physician took a breath, he said that we could work with that.
Throughout the day prior to surgery I received IV fluid and antibiotics to try to curb the infection before surgery. I had raised my basal in the pump and continued to monitor as normal. Using my meter to control my pump, and the hospital's meter to appease them, I found that the two meters were 20-25 points apart. I was asked to turn off the pump at 11:00 p.m. and they brought me 10 units of Lantus. I took the Lantus and at 3:00 a.m., my blood sugars had gone up twenty points. I turned on the pump and never looked back. One half hour before surgery, (11:30 a.m.,) I check my blood sugar again, and about 145. I correct with a half unit and called my CDE to ask if that was alright. I took my meter to surgery with me. In recovery, a sharp recovery nurse noticed my meter and check my blood sugar after surgery. It was 114. Later that night, they came once again with Lantus. I refused.
Moral of the story. Insist on managing your own diabetes if you are using a pump, and are capable of doing it. Hospital staff has no idea as to the theory of diabetes management via pump therapy.