Unfortunately the medical field really doesn’t teach much about diabetes. My step sister is a nurse and didn’t understand the difference between type 1 and type 2 and said I could control my blood sugar with diet. I have heard the same by many others, even doctors. You are lucky if they know the difference between type 1 and type 2, and it is almost a miracle if they understand dosing and everything else. Type 1 management is something severely lacking in training.
Staying in the hospital and having to rely on them for management or having surgery (or anything else leaving me unable to make conscious decisions) terrifies me. They think they know so much, yet know so little that it is just a mistake waiting to happen. The last time I was in the hospital was after having a severe hypo event, which afterwards I shot up really high. My wife felt I should go to the hospital anyways just to be safe, so I did, and of course they wanted to keep me for a few days ($$$$). I didn’t have a CGM at the time (this event is also the reason my endo told me to get one), and I think they wanted me to not use the pump so they could control everything and monitor it. I thought that sounded fine at the time. The meals they had for diabetics were not super high carb, maybe 30 at most I believe. They checked my blood sugar with their giant freakin meter that has a scanned to scan your arm band and stuff, and then would give me shots of humalog. No basal insulin, and they didn’t do pre meal boluses either. They also didn’t ask me any of my settings/ratios, but I think they may have called my endo and asked (granted it can change from what he has on file…). They did manage to keep my blood sugar stable, which they said was their primary goal, only they kept it stable around 300-350. I was so glad to get home and use my pump and get my blood sugar down to normal. Stories of nurses trying to give 25 unit boluses for BS inthe 180 range…that is the kind of thing that freaks me out. What if you weren’t conscious to tell them they were about to kill you?! Goodness knows they don’t use any kind of continuous glucose monitors, and any other alarms that go off take them forever to respond to so if your BS plummeted you would probably be dead before they got to you!
AS a side not, I had to look up what ISF stood for, as I have never heard it referred to as that. I have always heard and referred to it as correction ratio.