Question:
How do you manage oral medications and keep from dropping too low?
How soon can you wean yourself off of oral meds for diabetes? — Gail B. (posted on November 13, 2002)
November 13, 2002
Well my PCP said to not take any diabetic pill if my morning sugar was
under 175. Between 175 and 225 I would take the amaryl. Over 225? Take the
glucophage as well. Post op I NEVER took glucophage. Within a month I was
off ALL prescription drugs. If your on BP pills monitor tat closely as
well. I nearly hit the bricks. Do talk with your surgeon and PCP or
endocrylonogist. YOU need to monitor this close. They say a bit high is
better than too low. Plus normal sugar numbers like 100 felt too low to me
right after surgery. This takes time and eventually goes away.
— bob-haller
November 13, 2002
My PCP had me stop my Glucotrol XL two days before surgery (when I started
my pre-op liquid diet). I haven't taken one since. My last HgA1C was 5.2
and my blood sugars pre-meal typically run about 75...JR
— John Rushton
November 13, 2002
I never took oral meds for diabetes from the time I left the hospital after
RNY. My sugar stayed relatively low (compared to what it had been prior to
RNY)around 140 for a few weeks then leveled off at 80 and has been there
ever since!
— ronascott
November 13, 2002
I would not advise you to mess with your meds until you talk to your
doctor.
I used to be incredibly high - in the 300's (check my profile). But post
post for the first few months I was perfectly normal. And no more meds
(Actos and Glucophage) after two weeks post-op. Then they started to drop
completely. Now it is not unusual to have sugars in the low 60's, but I
have not been really symptomatic for hypoglycemia lately. I have found that
since the surgery eating TOO many carbs make my sugars skyrocket for about
30 minutes, then I crash into the 40's and 50's... it is the pancreas
overreacting to the sugary carbs. It is a weird reaction, but kind of backs
up my advice to talk to our doctor before changing your meds.
Good Luck!
— kultgirl
November 14, 2002
The number skyrockets because its part of dumping. No pyloric valve, sugar
directly into intestine, sugar numer clmbs and pancreas over reacts.
Dumping icky feeling is because of this.
— bob-haller
Click Here to Return