Type 1 diabetes

 does anyone have Type 1 diabetes.  

Yes, I am type 1 for 16 years. I am getting the VSG in January (hopefully). I wear a pump. You?
 

I am on the insulin pump. I have been for 10 years. I have had diabetes for 23 years this month. WOW is all I can say about that. I am approved for surgery but waiting to take my six weeks of classes. When I see the Dr I guess he will decide which surgery is best for me. what is the one you are having? I am bot familer with the terms yet. I am scared about the dumping thing I keep hearing about. If I get low blood sugar I am goon need sugar. It already makes me feel awful. I can't imagine feeling worse. Have a great day. Keep in touch.

Hi Melanie,

I plan on getting the sleeve (vertical sleeve gastrectomy) in January. There is no dumping, purely restrictive. Also, the stretchy, ghrelin (hunger producing hormones) producing part of the stomach is removed.

I looked at the band, but I believe it is falling out of favor. RNY is a little scary to me as is the duodenal switch.

My endo said I might not have to bolus anymore after the surgery! Doesn't that sound great!!!

René

Low sugars were a scare for me. So I increased my pump bg target on my pump.

Milk does help for a low sugar.  Just going to have to see what will work afterwards.  Glucose tab worked for me as well.

type 1 for 24 years here - pumpin' for 11 years with MM and CGS

Prior to surgery I reduced my basal by 40% before even going in.  Then dropped down from 130 units a day to now I use about 40-45 per day.  Thats the great thing. But now I have a fridge FULL of insulin no longer needing 4 vials a month of humalog

Hi Melanie,
I've been a Type 1 for 25 years, and got my DS 6 months ago.

I did not have problems with lows immediately post-op. I went off my pump just before surgery, and was on IV insulin for a few days post-op until I felt up to dealing with my pump. The endocrinology nurse practictioner at the hospital put me on one-fifth of the basal rate I had been on, and that worked extremely well. I stayed, surprisingly, right around 100 for the first two weeks post-op. It was actually very weird! But my last A1c was a 5.9, so obviously something is working.

The lows I have had since have been manageable. Since the DS and the VSG both have stomach sleeves that retain the pylorus, in either surgery you will not dump from ingesting sugar. What the DS does that, so far as I know the VSG does not, is rid you of insulin resistance that is caused in the intestines. For Type 2's (which we kind of are, in addition to Type 1s, if we exhibit signs of insulin resistance), the DS cures their diabetes 98% of the time, according to a study released this year. With the RNY, I believe--but don't quote me on this--that Type 2 diabetes is resolved about 86% of the time, but in some cases the Type 2 returns after a couple years' hiatus. There is something about the re-routing of the intestines in the DS that produces the high cure rate of Type 2 diabetes. In fact, in Europe some Type 2s get the intestinal component of the DS to cure their diabetes, even if they are not overweight.

At any rate, please feel free to PM me if you have any other questions. Also, check out my OH blog, I talk about blood sugar things on that fairly often.

And please be diligent in researching all 4 types of surgery. Make sure you consult with a surgeon who does all 4, so you can get unbiased info.

Best of luck to you in your journey.

Type I for 12 years. Pumping for the last 8.

Had Lap-RNY on Nov 4, 2009. Started @ 270#. I have lost a total of 67# all ready. My best news is I went from using 65-80 units of Novolog a day to under 20. Yes I said 20. My A1C before surgery was 6.9. I'll be going back around 1/28/10 to check where I'm at now.

Good luck to you.