Ugh. Cortisone shots. Yes! I have a wonderful hand surgeon who did the obligatory offering of 1st line of action cortisone shots for my carpal tunnel, but was actually really glad when I said "Nope. SURGERY!" He was so relieved that I understood, without having to be told, that the cortisone shots would probably just put off the inevitable and would likely really mess with my blood sugars.
I swear, hospitals are out to kill us though. He was the third surgeon I went to before settling on one.
The second one scared the bejabbers out of me. His scheduler told me to fast from midnight on, take half my insulin in the morning, show up for my surgery around NOON for pre-op and finally have surgery around 2pm. When I told her "But half of what? I take an amount based upon how many carbs I'm going to eat, but of course if I don't take any I suffer from Dawn Phenomenon, and I'll go high until I finally eat..." I just got a blank stare. I tried again with "OK. So what is the target glucose range to be in before surgery?" She had no clue. Couldn't answer, and couldn't get an answer out of the surgeon. I was told to just show up and if I was too high or too low, the anesthesologist would send me home and we'd reschedule. How about... no. The second surgeon scheduled me first thing in the morning, gave me a target, and told me not to take any insulin unless I was in danger of going high.
When I was in the hospital in '09 for gallbladder removal the first meal they gave me after surgery had whole milk (after I'd just been told to avoid fat), sugar-sweetened cranberry juice, blended-and-strained oatmeal with a pat of butter, and something else that was pretty much straight sugar as well. And they'd only give me, a Type 2 who has a crazy 1:2 insulin:carb ratio in the mornings 4U of Novolog, and only if my BG was above 140. Yeah. My husband brought me my own supplies and the doc and I had a knock-down drag-out about it. He was amazed, however, at how well I healed for a diabetic patient. Go figure.