Post-Transplant

Before being released from the hospital, the patient and the patient's family will be thoroughly instructed on post-transplant care. If the transplant recipient takes good care of him or herself, chances of success are greatly increased.

The patient must monitor blood sugars and insulin requirements very carefully after the islet transplant. Insulin may be necessary, but the amount should be significantly less than before the transplant. The transplant team will help determine adjustments in insulin dosages. In order not to stress or overwork the islets, blood sugars should be kept in a target range. It will take time for the islets to "engraft," or adapt to their new home and start making insulin. Some patients will be able to discontinue insulin prior to discharge from the hospital.

Post-Transplant Testing

All follow-up appointments and bloodwork take place in the Outpatient Transplant Clinic. Blood tests will be performed according to study protocol. These tests are done "fasting" (nothing to eat after midnight).

After transplant, patients will continue to do a finger stick test to monitor blood glucose seven times a day until off insulin. Once the patient is off insulin, he or she will do a finger stick test four times a day for a year. After that, he or she will test sugars once a day indefinitely and seven times a day for two days at the beginning of each month.