new to the diabetic forum , my story
Hi all, I am new here to the diabetic forum but am an avid participater on the RNY forum. Just thought I should introduce myself and tell a little bit about myself. My name is Cybil I have been a Type II diabetic for 11 years now. It started as gestational diabetes with my middle daugher and then never went away, there is like a 1 percent chance of that happening and of course it happened. Anyway, with 5 years after that I got pregnant again and with that pregnancy I became insulin dependent (pills did nothing for me anymore) and have been insulin dependent ever since. I was so very excited when I decided to have gastric bypass and found out that there was a very high probability that my sugar would return to normal and I would not need take my daily 5-6 shots a day anymore. This was the main reason that I chose to have the surgery. So I had the surgery on May 26th and weeks now months have gone by and I am still an active diabetic. I also had a major diabetic compliation about 5 days after my surgery. I got very very sick and went into diabetic ketoacidosis and almost died. I was in the Intensive care unit for a week, it was awful. They think it may of been the stress of the surgery on my body. granted, since I am eating much less and less carbs my amount of insulin I take has gone way down, BUT I still will get 300-400 readings if I do not take my shot, which is very discouraging for me. I am also still taking Long acting every night. I am only 30 lbs from goal (145lbs) now and assumed by this point I would not be requiring insulin anymore. Don't get me wrong I am thrilled with my surgery!!! I have lost almost 80lbs in 4 months and have not felt this good or looked this good in years!! I am off my blood pressure meds.
So just wondering if there are any other type II's out there who are insulin dependent and still have this high of sugars this close to their goal ???? Should I still have hope that it will normalize?
Cybil
So just wondering if there are any other type II's out there who are insulin dependent and still have this high of sugars this close to their goal ???? Should I still have hope that it will normalize?
Cybil
Hi Cybil I am a very newly dxd type 2 and preop for DS so my experiences match yours in no way, but I did want to offer you my support! Do you see an endo? How about dlife.com, are there any WLSers there? I do find their forums for diabetes very good.
I do know somewhat how you feel, when I eat and drink and take my meds very carefully and I am still reading anywhere from 120s to 200s, it's really discouraging. Hang in there. Your weight loss can only do your body good!
I do know somewhat how you feel, when I eat and drink and take my meds very carefully and I am still reading anywhere from 120s to 200s, it's really discouraging. Hang in there. Your weight loss can only do your body good!
Mary Catherine
on 9/21/10 3:07 am
on 9/21/10 3:07 am
Even with my weight far below my goal and very low carb intact, I would be in the 400's without medicines. It is just something about my pancreas. I was sure that the surgery would work for me. My surgeon was 100% sure too. Sometimes I know that the doctors think I am doing some type of secret eating, but that it not the case.
Hy Cybil;
ok, so you converted from gestational to type II and now type I, insulin dependent. The difference used to mean that as a type II your pancreas made some insulin, but as a type I, it didn't make any insulin, so surgery or not, your body would still need the isulin just to maintain a normal level. Your needs may or may not be coming from the food that you eat....depends on how much your pancreas doesn't work, basically.
I've been diabetic for 32 years and have hopes of taking less insulin after surgery, just as I do now having had band surgery about a year ago, but I know that I will never be completely off insulin.
I have a pump, set with specific basal rates and pump insulin for meals or snacks. This should continue after surgery, but my requirements should lessen since I won't be eating as much. As the weight drops, my basal rates will drop as well.
Hope that helps a little.
Heidi
ok, so you converted from gestational to type II and now type I, insulin dependent. The difference used to mean that as a type II your pancreas made some insulin, but as a type I, it didn't make any insulin, so surgery or not, your body would still need the isulin just to maintain a normal level. Your needs may or may not be coming from the food that you eat....depends on how much your pancreas doesn't work, basically.
I've been diabetic for 32 years and have hopes of taking less insulin after surgery, just as I do now having had band surgery about a year ago, but I know that I will never be completely off insulin.
I have a pump, set with specific basal rates and pump insulin for meals or snacks. This should continue after surgery, but my requirements should lessen since I won't be eating as much. As the weight drops, my basal rates will drop as well.
Hope that helps a little.
Heidi
Cybil;
Sounds suspicious. Now there are so many variations of what is type II and type I it makes my head spin, but if you are not seeing any improvement, then I would say you have gone more towards the type I end of things now. I do have a relative who progressed the same way, gestational, type II and is now full blown type I, so its possible. I hope you find some success either way with getting the insulin levels down. Thats my whole goal with the process get the levels down and not need as much.
Heidi
Sounds suspicious. Now there are so many variations of what is type II and type I it makes my head spin, but if you are not seeing any improvement, then I would say you have gone more towards the type I end of things now. I do have a relative who progressed the same way, gestational, type II and is now full blown type I, so its possible. I hope you find some success either way with getting the insulin levels down. Thats my whole goal with the process get the levels down and not need as much.
Heidi
UGH, thats what I have been worried about ;( I am also worried that since the insulin made me gain weight in the first place, if I cannot get off of it,, will I eventually start gaining weight back again?? I am also fuzzy as to the typeI type II rules. I thought type I you had to be born with. ?? I need to look into this further, because I do agree with you , it does seem as though I am type one, I thought that the moment the pills did nothing for me. But of course the docs told me I was crazy. :(
cybil
cybil
Cybil,
The rules have changed so completely over the past 10 years, its really difficult to classify anyone as type I or type II ....I think there are just more variations and in betweens. You could very well still be inbetween, being type II doesn't always lead to being type I, but in a lot of cases, it does.
I think at least the way that its been explained to me, with RNY, you have a better chance of not regaining weight because of the malabsorption. With me...getting the band first, all I was doing was lowering the insulin requirements because I wasn't eating....just protein shakes, cottage cheese and yogurt. The minute I added back in regular food, I started gaining. With RNY, that should not happen to the extent that it has with the band. I am sure I will still have to watch it like a hawk, but I anticipate things being much better.
Heidi
p.s. you are not crazy. Are you seeing an endocrinologist or pcp? I would look for a good endo and see what they have to say about the whole thing.
The rules have changed so completely over the past 10 years, its really difficult to classify anyone as type I or type II ....I think there are just more variations and in betweens. You could very well still be inbetween, being type II doesn't always lead to being type I, but in a lot of cases, it does.
I think at least the way that its been explained to me, with RNY, you have a better chance of not regaining weight because of the malabsorption. With me...getting the band first, all I was doing was lowering the insulin requirements because I wasn't eating....just protein shakes, cottage cheese and yogurt. The minute I added back in regular food, I started gaining. With RNY, that should not happen to the extent that it has with the band. I am sure I will still have to watch it like a hawk, but I anticipate things being much better.
Heidi
p.s. you are not crazy. Are you seeing an endocrinologist or pcp? I would look for a good endo and see what they have to say about the whole thing.
(deactivated member)
on 9/23/10 6:49 am - Woodbridge, VA
on 9/23/10 6:49 am - Woodbridge, VA
Unfortunately, with a typical proximal RNY, the malabsorption of calories only lasts about 18-24 months. After that, you're back to absorbing pretty much all the calories you eat because the intestines grow additional villi to compensate for the bypassed portion of intestine. So, the key with maintaining weight loss long-term after RNY is that you hopefully established good eating habits in your first 1-2 years post-op that then become your normal lifestyle without slipping back to old habits.
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