hi all
Hi all,
I am looking to see if I can get some experiences from people who have had WLS and were LADA or T1.5'ers before the surgery.
For that dont know LADA is Latent Autoimmune Diabetes in Adults or T1.5'ers are what we call ourselves, we are insulin resistant (T2) and make anti-bodies to insulin (Like T1'ers).
I am 38 years old, T1.5 for the last 9 months or so, was T2 for about 2 years before that, 335 lbs, 5'5" BMI is 56.7 more or less. Currently I am taking 2x1000mg Metaformin daily and 22-30 units of U500 via insulin pump.
I look forward to hearing some stories. I started my approval process 2/24/2010 for WLS and I am considering RNY.
Humbly,
Ramos
I am looking to see if I can get some experiences from people who have had WLS and were LADA or T1.5'ers before the surgery.
For that dont know LADA is Latent Autoimmune Diabetes in Adults or T1.5'ers are what we call ourselves, we are insulin resistant (T2) and make anti-bodies to insulin (Like T1'ers).
I am 38 years old, T1.5 for the last 9 months or so, was T2 for about 2 years before that, 335 lbs, 5'5" BMI is 56.7 more or less. Currently I am taking 2x1000mg Metaformin daily and 22-30 units of U500 via insulin pump.
I look forward to hearing some stories. I started my approval process 2/24/2010 for WLS and I am considering RNY.
Humbly,
Ramos
I've had T1 for 25 years (had the c-peptide test and everything), and several (many several!) years ago also developed insulin resistance. I've been on a pump for about 8 years. Before surgery, I was taking about 140-ish units daily. I had U-500 Humulin in my pump, so that I did not have to switch my sites every 36 hours and could go about 2.5 days between site changes. I "bolused" with a Humalog pen.
I had the duodenal switch (DS) about 10 months ago. My total daily dose of insulin has dropped to about 30 units daily (max) of Humalog. The DS has definitely reduced my insulin resistance! My A1c went from 7.3 to 6.1 in 6 months, so that ought to give you an idea of how much better my control is.
I would urge you to look at the DS as well as the RNY. I had two big reasons for going with the DS:
1. Best overall weight loss stats at 10 years out. The DS usually sees about 75 to 80% excess weight loss still at 10 years post-op, while the RNY looks more like 60 to 65%. I had a 54 BMI, and 60% EWL would mean that I would still be morbidly obese. Also, DS regain tends to be 20 to 40 lbs., if it happens, while there are many, many stories of RNYers regaining all their lost weight. I didn't like those odds.
2. No dumping with the DS. While certainly not everyone who gets the RNY dumps, I really wanted to avoid it, since I knew that I would not be able to avoid all lows and the needs for a quick sugar infusion. I was not at all thrilled contemplating getting whipsawed by a hypoglycemic reaction and then by dumping, yanno?
If I've piqued your interest in the DS, please stop by the DS forum here, or take a look at my profile.
Good luck in finding the right surgery for you.
I had the duodenal switch (DS) about 10 months ago. My total daily dose of insulin has dropped to about 30 units daily (max) of Humalog. The DS has definitely reduced my insulin resistance! My A1c went from 7.3 to 6.1 in 6 months, so that ought to give you an idea of how much better my control is.
I would urge you to look at the DS as well as the RNY. I had two big reasons for going with the DS:
1. Best overall weight loss stats at 10 years out. The DS usually sees about 75 to 80% excess weight loss still at 10 years post-op, while the RNY looks more like 60 to 65%. I had a 54 BMI, and 60% EWL would mean that I would still be morbidly obese. Also, DS regain tends to be 20 to 40 lbs., if it happens, while there are many, many stories of RNYers regaining all their lost weight. I didn't like those odds.
2. No dumping with the DS. While certainly not everyone who gets the RNY dumps, I really wanted to avoid it, since I knew that I would not be able to avoid all lows and the needs for a quick sugar infusion. I was not at all thrilled contemplating getting whipsawed by a hypoglycemic reaction and then by dumping, yanno?
If I've piqued your interest in the DS, please stop by the DS forum here, or take a look at my profile.
Good luck in finding the right surgery for you.
Jenn
Type 1 diabetic, 26 years
With great power (the DS!) comes great responsibility.
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