New to Forum and have questions!!

cypip
on 11/1/10 11:35 am
Hi There!

I have had Type I Diabestes for over 30 years.  I am currently using an insulin pump with  continuous glucose sensors.  I met with my surgeon this week and he recommending VSG.  I was dead set on the Band, however after doing research, talking with my surgeon and others who have had the procedure, I think the Sleeve would be the best choice. After researching  several WLS surgery programs and experiencing many surgeons who have never performed the procedure on a Type I, I have finally found one that I am comfortable and confident with. 

If everything goes well I will have my surgery in December!  I am going back and forth whether or not I am making the right decision.  I worry about complications from the surgery but I am especially concerned about my post op care.  The idea of a liquid diet scares me to death.  

I would like to know other Type I Diabetics that have had the VSG and their experience!  I look forward in reading your posts. Thanks. 

Christine
Missy1975
on 11/1/10 9:26 pm, edited 11/1/10 9:26 pm - Graham, NC
I didn't have a VSG but just wanted to wish you luck :) I'm sure somebody will be along before long!
Lucycat
on 11/2/10 7:35 am - Lewiston, ID
Hi, I'm type 2 diabetic, but having RNY next Tuesday.  I'm currently on a preop liquid diet.  I was also afraid I wouldn't be able to do it but found that the protein drinks really do keep me from being hungry.  Right now campbell's chicken broth is my comfort food.  You really come to understand what head hunger is, but I have learned so much about my eating habits this past week its amazing.  I don'g know what other co morbidities you may have but living with those and all the extra pounds is more dangerous than weight loss surgery.  I have been looking into the surgery for the past two 1/2 years and very seriously for the past six months.  Read several books, the best was The Expert Guide to Weight Loss Surgery.  You might want to wait a little longer until your more comfortable with the surgery.  Either way, I wish you well.
            
Mishelle R.
on 11/2/10 10:55 am
I'm a type 1 diabetic for 25 years and I had the RNY.

Great thing about the pu mp is running lowered basal rates for post op sugars. i also increased my bg target range so that i wouldn't be going low. often times I wasn't taking much of a bolus for post meal sugars unless i had to correct. that was a bit of an adjustment.

I have regained my insulin sensitivity and that part is great. I've lost 132 pounds and have done rather well. I was set on the band, for worried about lows after surgery. but with having my basals already programed to be lowered (I even had a few written down that were already a certain % lower than what i was on) and the bg target level increased along with the correction factor and ratios changed I had just a couple of lows the first 3 months post op.

Found that I would have milk, sometimes with carnation instant breakfast to treat the lows. sometimes adding some powder protein, but not always. then if I needed to i would eat something after that. some cheese or something so that there was more than just the milk on board. This has treated my lows rather well.

Your basal rates will cvoer you just fine with the liquid diet and if your dropping too much, then you know you can adjust them accordingly.
Good luck
cypip
on 11/2/10 3:05 pm
Mishelle, Missy and Lucycat, thank you for all of your support and information.  I will probably have my surgery in December.  I don't even have a date yet, but I am excited and getting more and more nervous.   Never having surgery before is scary enough but I don't want anything to happen post-op because of my diabetes.  I look forward to any further advice, stories, etc.

Christine
moving-on
on 11/3/10 1:45 pm - Rimrock, AZ
I myself have Type 1 for over 30 yrs and just had the RNY. I have so far not put my pump back on. I am taking Lantus in the Morn and Eve so far. With my research it seemed the RNY was most recommended. I found an article if you would like it. I started out thinking I wanted the band but several things led me to RNY. I will tell you that when I was on the liquid diet for two weeks, I was not bolusing for the drinks and even had to lower my basal rates to keep me from dropping. I would correct with milk or the glucose tablets. My sugar dropped this Morn and tried the glucose tablets with no problems. Yeah.
I wish you the best and if you have any questions please feel free to ask. I dont know everything but would love to help.
Debbie
Moving on to better health        
Mishelle R.
on 11/6/10 2:54 pm
yeah good old chalk - works for the lows.  I also do milk to start with if not quite low enough.  Though I've stayed on my pump since surgery, no way I would go to shots. When you go back to the pump from lantus know that lantus has an extremely long life in the body, i do blieve it goes as far as 36 hours (not aseffective but still in the system if you know what I mean)  would look it up but right now, its too late LOL

Even a year out things are going well - and counting :)



Type 1 diabetic for 25 years - pumping for 12 years.

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