Type
Hi Christin.
I am a typ 1 and on the pump as well. I will share with you what my surgeon shared with me.
The duodenum is the area of your colon that absorbs sugar. It is also the part of the colon that gets bypassed in the surgery in addition to the size of your stomach being greatly reduced. The RNY has been proven to put Type II in remission. Type I is still an unknown. However, if you are like me, you have a number of comorbidites inclusive of diabetes.
Did you see the band? it will assist in weight loss, but not impact the duodenum.
I had my RNY on 5/4. I went off of the pump for the first time since fitted with it on Sunday, 5/3. I have not put it back on. I am back on shots. However, as of today, I only take a total of 14 units of Lantus and Aphidra on a sliding scale. Today, I took a total of 22 units of insulin TOTAL! I was up to 120-160 per day on the pump.
I had a low blood surgar 4 days after surgery at 55. That scared the poo out of me, however, a little yogurt and I was on the mend. My endocronologist also recommened the RNY for the same logic my surgeon shared.
I was really frightened by the surgery and recovery. But, I figure, having survived acuted ketoacidosis in 2005, and immediately adjusting to a pump, this can't be much worse.
I wish you well. Please reach out to me any time. I would really like to here how you progress.
Katie
I am a typ 1 and on the pump as well. I will share with you what my surgeon shared with me.
The duodenum is the area of your colon that absorbs sugar. It is also the part of the colon that gets bypassed in the surgery in addition to the size of your stomach being greatly reduced. The RNY has been proven to put Type II in remission. Type I is still an unknown. However, if you are like me, you have a number of comorbidites inclusive of diabetes.
Did you see the band? it will assist in weight loss, but not impact the duodenum.
I had my RNY on 5/4. I went off of the pump for the first time since fitted with it on Sunday, 5/3. I have not put it back on. I am back on shots. However, as of today, I only take a total of 14 units of Lantus and Aphidra on a sliding scale. Today, I took a total of 22 units of insulin TOTAL! I was up to 120-160 per day on the pump.
I had a low blood surgar 4 days after surgery at 55. That scared the poo out of me, however, a little yogurt and I was on the mend. My endocronologist also recommened the RNY for the same logic my surgeon shared.
I was really frightened by the surgery and recovery. But, I figure, having survived acuted ketoacidosis in 2005, and immediately adjusting to a pump, this can't be much worse.
I wish you well. Please reach out to me any time. I would really like to here how you progress.
Katie
Katie Lou
Hi there. I had it laproscopically- I am to chicken to do it otherwise. I wasn't convinced which option was best f or me until I spoke with my endochronologist and my surgeon. They both agreed the rny bypass was the way to go. Please speak with both parties and do further research as well. There is all kinds of data out there, both good and bad. I can only tell you that the surgeon I had, his staff and the hospital at Citizen's in Victoria was fabulous.
I just had my surgery on 5/4. The first few hours were rough, but after that, the staff took great care of me. I was up walking within a few hours making the rounds and did so regularly after that as well. My recovery has been such a blessing in that it has been very easy. The first night home, I think I was more anxious than anything. But, no pain killers, no special bed- nothing. I had pretty bad gas pains. The Dr. said that for some reason folks with diabetes tend to get them a little worse. I took gas x and walked- no more pain..
I did a lot of research to make the decision regarding WLS. I spoke with a number of his patients, got the scoop and put it all together with my endochronologist. While, there is still the grand debate about impact to Type 1, I couldn't see the down side of taking this step to better my health. I have some news to share... Since the morning of 5/4, I have been completely OFF my insulin pump. I was doing about 160 units a day. I currently take about 35 a day! :-) Though I may not be cured of diabetes long term, this surgery has provided me the tool to make the changes in my life that will improve my quality of life and length of life.
I wish you well!
Katie
I just had my surgery on 5/4. The first few hours were rough, but after that, the staff took great care of me. I was up walking within a few hours making the rounds and did so regularly after that as well. My recovery has been such a blessing in that it has been very easy. The first night home, I think I was more anxious than anything. But, no pain killers, no special bed- nothing. I had pretty bad gas pains. The Dr. said that for some reason folks with diabetes tend to get them a little worse. I took gas x and walked- no more pain..
I did a lot of research to make the decision regarding WLS. I spoke with a number of his patients, got the scoop and put it all together with my endochronologist. While, there is still the grand debate about impact to Type 1, I couldn't see the down side of taking this step to better my health. I have some news to share... Since the morning of 5/4, I have been completely OFF my insulin pump. I was doing about 160 units a day. I currently take about 35 a day! :-) Though I may not be cured of diabetes long term, this surgery has provided me the tool to make the changes in my life that will improve my quality of life and length of life.
I wish you well!
Katie
Katie Lou
(deactivated member)
on 5/14/09 11:59 pm - Woodbridge, VA
on 5/14/09 11:59 pm - Woodbridge, VA
There is a woman on the DS board who is a type 1 and just had her DS. I mean JUST had her DS, so I'm not sure she is back to posting quite yet.
While the RNY has ben proven to resolve type 2 diabetes in up to 84% of cases, the DS resolves up to 98.9% of cases. Also, a more recent long-term study shows that the number of RNYers in remission decreases in future years (their diabetes returns), whereas the number of DSers in remission actually INcreases in future years. My common sense tells me this may be due, at least in part, to the fact that the RNY has a higher rate of weight regain in future years than the DS.
Also, sugar is absorbed long before it hits the duodenum. There is NO bariatric surgery currently performed that actually reduces the amount of sugar absorbed by the body - it is always 100%. This is because the breakdown and absorption of sugar begins as soon as it hits your mouth (imagine holding a sugar cube in your mouth - it will eventually dissolve and get absorbed, whereas this would not happen with a chunk or steak or lard, as protein and fat require additional elements from further down the digestive tract to be broken down and absorbed).
All of that said, I'm not sure there is a "best" WLS procedure for Type 1. Personal common sense tells me that a malabsorptive procedure (DS or RNY) would be better in the long run to avoid insulin resistance, if you don't already have it, which would help minimize the amount of insulin you would need to inject.
For overall weight loss in general (based on averages - there are always some who do better and some worse), the band is the least effective, followed by the RNY and sleeve (about even, though there is currently not much in the way of long-term results for the sleeve alone since it is a newer procedure as a stand-alone option), and the DS is most effective. The DS also has the best long-term stats for keeping the weight off.
Oh, and if your surgeon doesn't do the sleeve, and you decide that's what you want, find a new surgeon. And good for you for doing your own research instead of just buying what your surgeon sells you! I have multiple bariatric surgeons near my home - I could have had a band or RNY or sleeve within 15 minutes of my front dor. Instead, I first chose my desired procedure, then found the best surgeon to perform it. I traveled about 2 hours from my home (and that was forutnate - many have to fly or go out of country to get the best procedure for them).
While the RNY has ben proven to resolve type 2 diabetes in up to 84% of cases, the DS resolves up to 98.9% of cases. Also, a more recent long-term study shows that the number of RNYers in remission decreases in future years (their diabetes returns), whereas the number of DSers in remission actually INcreases in future years. My common sense tells me this may be due, at least in part, to the fact that the RNY has a higher rate of weight regain in future years than the DS.
Also, sugar is absorbed long before it hits the duodenum. There is NO bariatric surgery currently performed that actually reduces the amount of sugar absorbed by the body - it is always 100%. This is because the breakdown and absorption of sugar begins as soon as it hits your mouth (imagine holding a sugar cube in your mouth - it will eventually dissolve and get absorbed, whereas this would not happen with a chunk or steak or lard, as protein and fat require additional elements from further down the digestive tract to be broken down and absorbed).
All of that said, I'm not sure there is a "best" WLS procedure for Type 1. Personal common sense tells me that a malabsorptive procedure (DS or RNY) would be better in the long run to avoid insulin resistance, if you don't already have it, which would help minimize the amount of insulin you would need to inject.
For overall weight loss in general (based on averages - there are always some who do better and some worse), the band is the least effective, followed by the RNY and sleeve (about even, though there is currently not much in the way of long-term results for the sleeve alone since it is a newer procedure as a stand-alone option), and the DS is most effective. The DS also has the best long-term stats for keeping the weight off.
Oh, and if your surgeon doesn't do the sleeve, and you decide that's what you want, find a new surgeon. And good for you for doing your own research instead of just buying what your surgeon sells you! I have multiple bariatric surgeons near my home - I could have had a band or RNY or sleeve within 15 minutes of my front dor. Instead, I first chose my desired procedure, then found the best surgeon to perform it. I traveled about 2 hours from my home (and that was forutnate - many have to fly or go out of country to get the best procedure for them).
(deactivated member)
on 5/16/09 9:42 am, edited 5/16/09 9:44 am - Woodbridge, VA
on 5/16/09 9:42 am, edited 5/16/09 9:44 am - Woodbridge, VA
Yup, it was laparoscopic. I was back to work full time (desk job) in 2 weeks without a problem (including about a 40-minute drive each way).
Before surgery, I was on 2 different oral meds for my type 2, including being on the max dose for metformin. My fasting glucose the morning of surgery was in the 180s. I now take 1000mg metformin (down from 2500mg before surgery) and have discontinued the second oral med, and my fasting level at my last appointment was 90-something. Both my PCP and bariatric nurse are confident I will be off the metformin in the near future.
Check out www.dsfacts.com for more info and a list of good DS surgeons.
Before surgery, I was on 2 different oral meds for my type 2, including being on the max dose for metformin. My fasting glucose the morning of surgery was in the 180s. I now take 1000mg metformin (down from 2500mg before surgery) and have discontinued the second oral med, and my fasting level at my last appointment was 90-something. Both my PCP and bariatric nurse are confident I will be off the metformin in the near future.
Check out www.dsfacts.com for more info and a list of good DS surgeons.
Christin,
Hi! My name is Mary Beth and I am a Type 1 diabetic and I am on a insulin pump. Last year I began to consider weight loss surgery. I was about 100 lbs overweight, had high blood pressure, high chlosterol and sleep apnea. My husband and I went to an informational meeting last July. When I had my first consultation, I had the same response from my surgeon. I wanted a lap band, but I had some problems with my stomach emptying due to the diabetes. I then did extensive research on the gastric sleeve and I thought that that was my best route. Unfortunately, my insurance company does not pay for the gastric sleeve surgery because it is still considered experimental. So, I decided on the gastric bypass.
I had my surgery on Tuesday, January 27, 2009. My surgeon kept me in the hospital one extra day due to crazy high blood sugars. I went home on Thursday, was released from my doctor to go back to work the following Wednesday.
At the present time, I have lost 54 lbs. I am not taking any high blood presure medication or high chlosterol medication. I am no longer using my breathing machine to sleep. I am exercising several times a week and my insulin intake has been cut in half. I no longer take any boluses with any meals and I am on a basal rate of 2.00. I was using over 100 units of insulin a day and now I am down to 48 units a day. I never expected the surgery to be so easy to bounce back from. I believe it is all about attitude and how willing are you to change your habits in order for the surgery to work. The liquid diet was alright. I survived the pureed food and now I am eating solid food. I am eating mostly protein and some vegetables. No carbs! I take liquid multivitamins and calcium. My doctor told me last week that I can start taking chewable multivitamins. Your body will tell you when you are full and when to stop eating. I have not had any problems with dumping. I have had problems with eating too fast, which makes me sick or eating foods that don't agree with me.
I would strongly encourage you to research the gastric bypass surgery. My goal is to lose 100 lbs and I have 46 more lbs to go just after 4 months. Take care.
Mary Beth
Hi! My name is Mary Beth and I am a Type 1 diabetic and I am on a insulin pump. Last year I began to consider weight loss surgery. I was about 100 lbs overweight, had high blood pressure, high chlosterol and sleep apnea. My husband and I went to an informational meeting last July. When I had my first consultation, I had the same response from my surgeon. I wanted a lap band, but I had some problems with my stomach emptying due to the diabetes. I then did extensive research on the gastric sleeve and I thought that that was my best route. Unfortunately, my insurance company does not pay for the gastric sleeve surgery because it is still considered experimental. So, I decided on the gastric bypass.
I had my surgery on Tuesday, January 27, 2009. My surgeon kept me in the hospital one extra day due to crazy high blood sugars. I went home on Thursday, was released from my doctor to go back to work the following Wednesday.
At the present time, I have lost 54 lbs. I am not taking any high blood presure medication or high chlosterol medication. I am no longer using my breathing machine to sleep. I am exercising several times a week and my insulin intake has been cut in half. I no longer take any boluses with any meals and I am on a basal rate of 2.00. I was using over 100 units of insulin a day and now I am down to 48 units a day. I never expected the surgery to be so easy to bounce back from. I believe it is all about attitude and how willing are you to change your habits in order for the surgery to work. The liquid diet was alright. I survived the pureed food and now I am eating solid food. I am eating mostly protein and some vegetables. No carbs! I take liquid multivitamins and calcium. My doctor told me last week that I can start taking chewable multivitamins. Your body will tell you when you are full and when to stop eating. I have not had any problems with dumping. I have had problems with eating too fast, which makes me sick or eating foods that don't agree with me.
I would strongly encourage you to research the gastric bypass surgery. My goal is to lose 100 lbs and I have 46 more lbs to go just after 4 months. Take care.
Mary Beth
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