Remission vs "cure" for Type II diabetes
Good article and more promising research about the impact of WLS on Type II diabetes. Just want to point out that they are careful to use the word "remission" rather than "cure" until the diabetes has been under control without any meds for at least 5 years. It's a pet peeve of mine that people tout WLS as a "cure" for diabetes. Once you're diagnosed you're a diabetic for life because your body has crossed that line and your pancreas won't ever behave exactly the same as someone without the disease. But there is HOPE and REMISSION from the deadly effects of this disease. I'm one of those that was on 2000mg of Metformin and 10mcg of Byetta a day prior to surgery. I went home on nothing the day after and have been in remission ever since. BUT my blood sugars have started creeping back up since I've been messing around with carbs again :-(
If and when I can claim 5 years of remission then I might consider saying I'm "cured"...but I doubt it. Because I know that taking back the carbs and sugar will get me right back to having to take medication again regardless of how long I've been in remission. I've seen it with too many WLS patients who thought they were "cured" and could eat whatever they wanted. Hear me now....you can't, not if you want to stay medication free.
Yep-yep and yep..I have a feeling you are spot on here. Diagnosed type two for 6+ years (how many before due to head in the sand-who knows?) Each year needing more and more metformin and glipizide to control, because God knows I wasn't doing a very careful job of it- relying on the meds---The year before the WLS when I was preparing and finally took responsibility for my condition--proper control of the carbs and exercise, I slowly dropped the need for the meds to the point of not needing any the week before the WLS and not since. Am I cured? HELLNO! I believe I'm in remission. For how long? What I can do, I will- the rest is going to be a Grace of God thing. For however long I can keep this dread disease at bey, I will be grateful for my sleeve and OPEN EYES.
goal!!! August 20, 2013 age: 59 High weight: 345 (June, 2011) Consult weight: 293 (June, 2012) Pre-Op: 253 (Nov., 2012) Surgery weight: 235 (Dec. 12, 2012) Current weight: 145
TOTAL POUNDS LOST- 200 (110 pounds lost before surgery, 90 pounds lost Post Op.diabetes in remission-blood pressure normal-cholesterol and triglyceride levels normal! BMI from 55.6 supermorbidly obese to 23.6 normal!!!!
I was just thinking the same thing today..
how for SOOO many years my PCP would tell me to lose weight to gain control over my type 2
but did I listen...hell no...and here I am almost a year out, haven't taken any meds since surgery..
it just kind of dawned on me wow look at how much my weight taxed my pancreas..
I also believe I am only in remission...will never call myself cured..I gain the weigh back the diabetes is gonna come back fast and furious!
This is the exact reason why I'm scared to incorporate carbs into my diet again. I'm so fearful that it will feed into an unhealthy carb addiction and I will begin that slippery slope right back into diabetes. There IS no cure for diabetes. There are effective ways to put diabetes in remission, and WLS is one of them. I'm so grateful I decided to have this surgery to help me lose weight and eat better. I am just 6 weeks post-op and am eating mostly protein... but like I said, I'm almost scared to eat anything that has carbs for fear of ending the lovely remission I'm in.
since surgery my a1c has been great the first test it went up from 5.8 to 6.2 but 6 months latter it was back to 5.8
but after surgery I was taken off slow release insulin and byetta and only take 1000mg metiformine twice a day and was told when I lose more weight I might get off that also I eat an avarge of 30gm carbs a day ( from yogurt fruit and veggies)
I was told before surgery that none of the wls was a sure cure and since I had diabetes for than 12 year , that it would improve but probably not go away completely I was takin insulin for over a couple of years and byetta for 1 year pre surgery
I was on Byetta and Metformin for about 6 years, never had to take insulin, thankfully. My A1c at 6 months was 5.1 but last month it jumped up to 5.4. And that's because I've been messing around with carbs (and sugar) the last few months.
I'm working hard to get that the carb monster off my back because even without gaining weight, I could easily have to go back on medication again.
Good luck to you! Here's hoping you can get off most medications once you hit goal weight