Post-Transplant

Before being released from the hospital, the patient and the patient’s family are thoroughly instructed concerning the patient’s care. If the patient takes good care of themselves and their transplant, there is an increased chance of a successful outcome.

The patient will monitor their blood sugars and insulin requirements very carefully after the first islet transplant. The patient will most likely require insulin, 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 will 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. After the second transplant many patients will be able to discontinue insulin prior to discharge from the hospital.

Post-Transplant Testing

The follow-up appointments and blood work will 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).

Post-Transplant At-Home Testing Schedule

Tests
Time Post-Transplant

Capillary Blood Glucose
(finger stick)

  • 7 times a day until off insulin
  • Once off insulin:
    • 4 times a day for one year
    • Once a day indefinitely
    • At beginning of each month - 7 times a day for 2 days