EEK I now have a date for completion surgery, and they want me to knacker my (low carb) diabetic diet. Help?

It's a scary scary time. Completion surgery for ovarian cancer booked for next week. They've already done BSO, this is 'everything else' - or as my darkest gallows humour calls it, the eviction of all remaining giblets.

Thing is, the pre-op instruction sheet says to have loads of carbs for tea the night before - a big portion of pasta/rice/potatoes - without actually saying why. I pointed out that to manage my T2D I have a very low carb diet. It works. I have managed to reduce my HbA1c score from 69 in Jan this year to 36 a couple of weeks back. But it's by diet alone, no meds. Honestly, they would find it so much easier if I just took ALL the meds... I queried it with my nurse and with the pre-op team. They didn't say why, they just said to do it.

I was ready to find a compromise of something with loads of pulses/beans, but no, they really want to push the simple carbs on me. If I have simple carbs in any 'normal' portion it sends my vision blurry, me very sleepy, and my mood all over the place. I can get away with TINY (50g max) portions of low-GI carbs like gluten-free pasta, bulgur wheat, sweet potato - maybe 2 or 3 times a week. I feel like I've been brushed off as if this is no big deal. It's bad enough that they can't feed me on the ward (sandwiches, biscuits, cereals... ALL on my banned list) so I'm taking my own foods, but this is pushing me into further anxiety and reluctance to go ahead. 

Please can you advise? Or clarify why they are pushing me to do this? 

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    Hello and thank you for your post,

    I am sorry to hear about the surgery you need to have and can appreciate your question about the pre-op diet you have been advised to follow.

    I am afraid that because I am not involved in your pre-op care it's difficult for me to be sure why they have advised you to take a high-carbohydrate diet. I looked to see if there was any clinical guidance about this but could not find any. I wonder if it is because the surgical team believe it could maintain your blood glucose level better for the length of time you can't eat.

    It might be helpful to discuss this with your GP. They may be able to reassure you better than we can.

    You may find it helpful to talk things through with one of the nurses on our helpline.  The number to call is Freephone 0808 800 4040 and the lines are open from 9am till 5pm Monday to Friday.


    Take care,

    Caroline