diabetics over a year post op

hello, I'm new to this board and so glad to find it. I have questions for WLS patients with type 2 diabetes and are at least one year post op. When I had my surgery 8/3/2004, i weighed at least 262. I was gaining weight quickly due to 250 units per day of insulin. Is anyone still on insulin and stopped losing before reaching your goal? I'm still wanting to lose about 40 - 50 more pounds. any info will help. I am nowq down to 188.5 lbs. and 40-20 units of insulin, but take many pills. Thanks

Hey Bronda - Not a lot of activity over here, so I haven't checked in in a while. I'm almost 2 years post op now; I was on just the oral meds (1500mg metformin+40(?)mg Actos (1 pill)) preop, and still wasn't in great control - Postop, I'm med-free, and have managed to maintain control okay. It's very clear to me that I'm still a diabetic, as my sugars will hop right up when I'm not feeling well, if I overeat, etc, and I still get the rebound effect from sugar highs then lows, then slowly levelling out (but still going up and down during the process), and I'm VERY susceptible to dumping, which exacerbates the insulin response and peaks followed by crashes, which force eating, which lead to peaks, etc. I'm not as good about getting my A1C done as I should, but my fastings have been fairly decent; in the 110 range tops, and most times < 90... that is, assuming I'm being "good"... If I've been bad.. well, let's just say that I'm not very good at checking it when I'm bad unless I REALLY feel "off"... Given all that, I've only lost 110 or so from my top of 357 (undocumented, that was my scale and they didn't record the day of surgery at the hospital, as far as the doc's office was concerned lol). The good news is that I've managed to maintain that. The bad news is that I wanted to lose another 80 or so and get down to near 165... I do feel that not being in as tight control and all the dumping/peaks/crashing have had a definite impact on my weight loss post op, but I, like you and the insulin, am not quite sure what to do about it. I wish I could help in regards to the insulin, but except for when I've been in the hospital and 'out of whack' during surgeries, I've managed to avoid it. My best recommendation, and one I'm going to be looking into myself in the new year, would be to either a) find a gastric bypass nutritionist who is familiar with diabetes and patients on insulin as well or b) find an endocrinologist who has an interest in patients who have HAD gastric bypass - if you can find one or the other, you will probably find someone who can help figure out and track/trend exactly what's happening and what you can do to reach your goals both from insulin/diabetes control standpoint and weight. Best of luck and happy holidays - ...Nick