I know of quite a number of people online who have used apidra and have had success with it. Apparently in some it works faster than humalog or novolg. Some pumpers may have had some problems with clotting in the tubing, but that is anecdotal. I wouldn't worry too much about the switch. I have heard really nothing but good things about it.
I know someone who posts here sometimes who has gone through breast cancer chemo. Hopefully she'll give you some ideas of what her blood sugars did. On the pumping side, I would suggest not changing anything and testing a lot. You will see what the chemo does to your sugars and then be able to make adjustments accordingly. You may only need to make adjustments on chemo days or a day or two after. I don't know for sure, but you will have to research your own body and look for patterns.
Have you talked to the doctors doing the surgery? They often have a preference and will tell you what too do in the pre-op appointments. I have friends that have gone through this. Some docs prefer switching you to mdi and others will let you leave the pump on and simply have you lower your basal during the surgery (they worry about lows). While I never had a surgery while on my pump, I would have preferred staying on it and getting better control.
Are you seeing a retina specialist? It sounds like you still have active bleeding. Just to let you know I started with issues when I was 14 and didn't get treated until I was in my 20s. I was in the advanced middle stages of the proliferative phase of retinopathy. The good news is that I am now nearly 50 and can still see well. I drive, read, watch tv, and of course post on the internet.
If all you are seeing is blood, then it is still (most likely) just some retinal bleeding and not a tear or a detachment (large black curtain involved in this). As I said, this needs to be followed by a retina specialist. Keep us posted on how you are doing.
Keeping good blood sugar control is important, but not too tight right away. Rapidly dropping blood sugar can make the retinopathy worse.
Your Dad needs to see a doctor. This sounds like uncontrolled diabetes and it's complications (gastro and circulatory problems). If that is the problem and he continues to not take meds or take care of himself he may get organ failure (heart, eyes, kidneys) or lose limbs.
Sorry I can't be more positive, but it sounds like he is in a dangerous situation.
Since your a1c is low, I would suspect that your glucose problem is of recent onset. Having to urinate a lot is a sign of high glucose. If your fasting was high, then your post meal glucose is probably even higher. Did your doctor recommend any dietary/exercise/mediation changes?
Also, sometimes stress/infections can cause a one time spike (it happens in accident victims). But since you have had problems going to the bathroom at night, it is quite possible that you have developed diabetes. It happened quite suddenly to my husband. He was fine, and then one day he was in the 400s when I tested him. He has modified his diet (cut back on carbohydrates) and his blood sugars are now normal with no medication.
If your blood sugars are running so high, then your basals are off and so are your ratios. Do you have absorption problems due to scar tissue? How often do you change your site? These are all things that can affect your glucose control. I would get the book "Pumping Insulin" to properly learn how to manage your diabetes with your pump. There is no reason to keep running that high if you know your levels, ratios, and how to count carbs.
And yes, temperature can affect your blood sugars. Some people go low in the summer heat, but I was also one that would go high. My basal rates would change like clockwork in April and September (dropping the the fall and going up in the spring).
Hi Laura. I've had frozen shoulder. I had it over 10 years ago. I went to physio first and they said "tendonitis" and put ice on it. That was the wrong thing. I did some research and found that heat and manipulation will help. I went to my acupuncturist/accupressure who did some needle stuff and a lot of stretching. The treatment was really painful, but I have pretty much full mobility at this point and before I could barely tuck in my shirt in the back. That's what worked for me. Hope this helps a bit.