Lindsay Shaw

Things to remember after lung transplantation

Avoiding rejection and infection:

Follow instructions for taking immunosuppressants

Take prescribed vitamins and minerals

Take pancreatic enzymes with all meals and snacks

Practice recommended food safety guidelines

Communicate problems to medical staff

Avoiding cystic fibrosis-related diabetes (CFRD):

Eat 3 balanced meals and 2-3 snacks a day

Do not restrict calories to control blood sugars

Do not skip meals

Try to eat at about the same time each day

Check blood sugar 2-4 times a day if it is a problem

Consider carbohydrate counting if needing insulin

Avoiding osteoporosis:

Maintain a normal body weight

Supplement with calcium and vitamin D, as directed by transplant team

Do weight bearing exercises if able

Do annual DEXA scans to monitor bone density

Avoiding kidney complications (can be caused by high blood sugars and some transplant medications):

Monitor kidney function with blood work

Drink adequate fluids

Follow dietary restrictions as needed

Avoiding bowel obstruction:

Take correct dose of pancreatic enzymes

Drink adequate fluids

Monitor bowel movements closely

Use stool softeners as needed