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Nov 21, 2019

Which Blood Tests Should I Request Post-Colectomy?

This topic is about understanding which blood and imaging tests might be beneficial for someone who has had a colectomy with an end ileostomy. After such a surgery, there are certain health risks to be aware of, including type 2 diabetes, gallstones, and kidney stones. Here are some helpful suggestions for managing these risks:

1. For type 2 diabetes, consider asking for an A1C test. This test measures your average blood sugar levels over the past few months and is a standard way to diagnose and monitor diabetes.

2. To check for gallstones, an abdominal ultrasound is recommended. This is a non-invasive way to see if gallstones are present.

3. For kidney stones, a renal ultrasound is a good first choice because it doesn't involve radiation. A CT scan can also detect kidney stones but is usually reserved for when there are symptoms that justify its use due to the cost and radiation involved.

4. At home, you can monitor your blood sugar levels using a personal glucometer. This can help you catch any high or low readings between doctor visits. If you notice low blood sugar, you can treat it with quick sugars like candy. For high readings, staying hydrated and consulting your doctor is advised.

5. Before scheduling any imaging tests, check with your insurance provider. Many insurers require specific clinical indications before they will cover the cost of ultrasounds or CT scans, so it's a good idea to confirm what is covered.
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