Need Help with Diabetis

I am in search for someone that has had Bariatric surgery but remained a diabetic and is on an Insulin Pump.  I am 7 years out from surgery and I dropped 160 lbs but have regained 70 lbs of that.  I am still a diabetic and still take Insulin.  I went on an Insulin pump as I thought it would be easier to manage.  But I think that the setting might be wrong as to the sensativity and the peak time.  I think my body is different than the average diabetic as to when the food I eat peaks and it's causing my A1C to come back on the high side.  I would appreaciate anyone out there having the same problem to share it with me or if there is a professional out there that can give me some suggestions.  Thanks

Type I diabetic will always be diabetic.  No cure yet.  I'm pumping.  Getting your basels and carb
factors and correction factors correct is tricky.  Have your diabetes educator in your endo's office adjust them for you.  I think all the insulin makes me hungry.  Hate that!! Best of luck.

Are you Type 1 or Type 2?

Also, how long have you been diabetic? I found out that after 25 years, I have gastroparesis (a kind of neuropathy of the stomach, so it doesn't move properly). In hindsight, my blood sugars started going wonky about 7 years ago in the a.m. particularly, and I think I had gastroparesis then. What happens is that the stomach empties slowly, so you could get carb spikes at 4 to 5 hours after eating, say, rather than 1 to 2 hrs. Talk to your endo or diabetes educator. Maybe it's time for a barium swallow to see what your tummy is doing.

I am a type 1 for 47 years and a pumper for over 13 years now and having my surgery tomorrow. My endo told me right off the bat to lower my basal rates to 50% and that I would probably have to change all my insulin to carb ratio's and sensitivities etc so you must work closely with your endo or whomever is managing your pump setting, even a diabetes educator. Diabetes is never easy and with as much weight as you have lost (congrats) it will make a big difference in your settings so you must really good records and in constant contact like every 2 weeks with someone in the medical field to go over things and adjust your settings with you. Having the bypass surgery does cause your body to process food differently so most likely you may need to give your bolus over a longer time period using the square wave or dual wave,depending on what pump you have. Don't give up, there is help out there and while I don't have quite as much to lose as you do, I hope I can do as well on Wed. when I have my surgery.
Good luck
Laura

Your basals should maintain you without food. You can test this by not eating and testing your blood sugar every hour to see what it is. It will give you an idea of which basal rates are off. You should not go low during this time either. If you do, make a note of the time. You may need to change the basal rate that is right before that time period or add another basal rate to get you over that hump. The same goes for a high reading.

In general, I have found in the last two weeks, that two of my basal rates are ever so slightly off. I am bringing the readings to my nutritionist next week because she makes all my pump changes with me. In addition, my sensitivity has not changed at this point, but I have lost less than 20 pounds, so I wouldn't expect much change yet. However if you are using the same settings as before your surgery, then I would expect them to change.  The peak time really depends on the type of insulin you are using in your pump.

It sounds like you need to keep some records, do some testing....every hour at minimum and then take those records to someone who is a specialist, working with pump patients. Also discuss your activity level, etc. When I am working out or walking, I have to set a temp basal rate at approximately 80 percent of the normal rate if my blood sugar is high going in to the activity. If its on the low side, I sometimes stop the pump during the exercise and then for an hour after.