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Topic: RE: help newbie?
Hi Beth
There is some food that is said to help to control the sugar level. When I was still very young about 4, my dad was diagnosed with a little high on his blood sugar. My mother learn form some friends and cook corn water for him 3 times a week and let the whole family drink like water. On top of than he also loose some weight by eating only wheat bread, and no more soda and sweet stuff. And yes dad condition got better and do not need to take any medication since.
The down side is that when I grow older during a health screen I was diagnosed with low blood sugar.
Bottom line may be a chang of life style may help? And do try the corn water is easy just get fresh corn, remove the leaves cut of the dirty back root leave the nice clean root, chop into pieces and cook in a pot of water for about an hour. You may not like the taste at 1st but once you get over that its actually pretty sweet and nice.
No harm trying its only corn cook in water. Hope this help
Topic: RE: help newbie?
Hi Beth! I'm Lisa. Type 1 diabetic for 30 years. My fiance is a Type 2 like you, recently diagnosed. He was reading in the high 300's when he was diagnosed. He was prescribed 500 mg of metformin twice a day too. It barely helped lower his sugar, if at all. Then at the next appt he was prescribed glyburide 5 mg twice a day to take along with the metformin. This made his sugars drop sometimes below the 60's, especially when often skipped breakfast. Sooo...he stopped taking that, is still on the Metformin, and is taking 40 Lantus (insulin) before bed. He started at 15 units and raised it a bit each night until his fasting morning sugars were under 120. The thing is, when he exercises, he wouldn't need to take ANYTHING. We have a gazelle, which is sort of like an elliptical machine, as well as a Wii. He did the Wii Fit after dinner for maybe 30 mins and his sugars were perfect! Most type 2's are lucky that way, it's managable with diet and exercise. Being a Type 1 I'll never be off of insulin shots because my pancreas doesn't produce ANY.
I agree with Cybil. Your sugars are still pretty decent. In my opinion, that is. Do you exercise at all? I wonder if it would work for you like it did my fiance. The hard part is that being overweight already, it's so hard to stay motivated and do it daily. Good luck!
I agree with Cybil. Your sugars are still pretty decent. In my opinion, that is. Do you exercise at all? I wonder if it would work for you like it did my fiance. The hard part is that being overweight already, it's so hard to stay motivated and do it daily. Good luck!
(deactivated member)
on 9/17/10 11:34 am - Woodbridge, VA
on 9/17/10 11:34 am - Woodbridge, VA
Topic: RE: Type 1 for 30 years -- RNY or sleeve?
Mishelle is right that reactive hypoglycemia probably won't happen since you're type 1 - sorry, my brain is usually focused on type 2!
Blind stomach is the part of the stomach left inside when they create the little pouch for the RNY - it is detached from the pouch and cannot be viewed endoscopically, so it can cause problems such as ulcers that cannot be scoped. This doesn't happen with the VSG since the excess stomach is completely removed instead of just sectioned off.
Blind stomach is the part of the stomach left inside when they create the little pouch for the RNY - it is detached from the pouch and cannot be viewed endoscopically, so it can cause problems such as ulcers that cannot be scoped. This doesn't happen with the VSG since the excess stomach is completely removed instead of just sectioned off.
Topic: RE: Type 1 for 30 years -- RNY or sleeve?
Hi Mishelle! Thanks for the long reply. Lots of great info!
So I'm curious about before you had surgery...did milk treat your lows then? I have no idea what's going to happen once I lose, but right now, milk doesn't even touch a low of mine. I've always been advised that it can be used for a low, but it's never helped me get out of the danger zone alone. Chocolate milk does though...I guess that little bit of sugar is just what I need, so I'm sure Carnation Instant Breakfast could work for me, that is if I am home, but I worry about what could happen if I'm out. I usually carry candy or a juice box with me in case something happens, but what do I do carry a thermos around with milk in it? lol So does 100% juice cause the dumping syndrome in some RNYers or is it just processed sugar?
I'm a bit confused about gastroparesis. Delayed gastric emptying? Opposite of dumping or "rapid gastric emptying?" Do you have this and how does it relate to the fiberous tissue and RNY? I read that gastroparesis can be caused by diabetes or abdominal surgery. A bit confused is all, if you wouldn't mind explaining I'd appreciate it. I kind of worry about an open surgery, or something happening that the surgeon is not prepared for, since we, as Type 1's are the minority. I'm sure it would have been totally unexpected that you went under thinking it was going to be laproscopic and woke up to being cut open. Things could have been much worse though!
I'm not on a pump, never took the "plunge" because I've been so comfortable with my shots...am so used to giving them that it really didn't matter to me, plus I have worn a continuous glucose monitor before and I just hated having that attached at all times. I'm thinking that is how I may feel about a pump, but then again, I have not read a lot about it, only heard the jist of it through the grapevine, from doctors and random posts on message boards. I was diagnosed back in the day (1980...eek! Shows my age! lol) and there have been SO many new developments since then.
Recently I saw a endocrinologist who thought I would benefit from taking U-500 instead of the Novolog and Lantus I was taking. I was pretty well controlled, aside from higher morning fasting sugars being slightly higher, but because I was taking a total of about 200 units and overweight, he said that I could take less units with this, which may help with insulin resistance and my weight. If you don't know, U-500 is a concentrated insulin where 1 unit is equal to 5 of regular or novolog. What I really don't understand is if it's concentrated, is it truly "less" and will give me back any sensitivity? The problem with U-500 is that it doesn't start working for like 1 - 1.5 hours and peak times are different and it last much longer, so they compared it more to an NPH than regular. I hate that it's not really adjustable to what you're eating...I really don't like it at all. They thought that this would also work for my high fasting BG's too, but it did not. They said to try it for a week, then call with sugars and they couldn't titrate until 7-14 days. Told me I didn't need to keep a food log and told me to take 10, 10, and 10 - breakfast, lunch and dinner. I WAS taking 45, 15 and 28. Does this make ANY sense to you? Hello...I was bottoming in the afternoon and waking up with BG in the 300's to 500's! I was like, "In the mornings I feel like crap...like I have to throw up, so dehyrated, SOOO tired, I REALLY hope that I can correct with Novolog if you won't let me correct with U-500!" Grrr...which I did at first, but...after listing to the CDE's for so long getting nowhere, I ended up tweaking things on my own - taking less U-500 at dinner and 30 Lantus at bedtime. I was taking 70 Lantus before the U-500 so I guess it's helping me somewhat. I just sort of wonder what is the point of changing all of this in the last few weeks if I will have to redo it all again after surgery, which could be as early as Nov. Sigh...we will see!
Congratulations on your awesome success, and it sounds like everything is pretty well controlled for you too! I would be thrilled with results like that! Slower weightloss is better sometimes too, so I hear. You have time to tone up and may have less loose skin. Is that the case for you?
Well I've rambled. I probably should've PMed you! I didn't realize that I was going to say so much. Thanks again for taking the time to reply. Hope to hear back soon!
So I'm curious about before you had surgery...did milk treat your lows then? I have no idea what's going to happen once I lose, but right now, milk doesn't even touch a low of mine. I've always been advised that it can be used for a low, but it's never helped me get out of the danger zone alone. Chocolate milk does though...I guess that little bit of sugar is just what I need, so I'm sure Carnation Instant Breakfast could work for me, that is if I am home, but I worry about what could happen if I'm out. I usually carry candy or a juice box with me in case something happens, but what do I do carry a thermos around with milk in it? lol So does 100% juice cause the dumping syndrome in some RNYers or is it just processed sugar?
I'm a bit confused about gastroparesis. Delayed gastric emptying? Opposite of dumping or "rapid gastric emptying?" Do you have this and how does it relate to the fiberous tissue and RNY? I read that gastroparesis can be caused by diabetes or abdominal surgery. A bit confused is all, if you wouldn't mind explaining I'd appreciate it. I kind of worry about an open surgery, or something happening that the surgeon is not prepared for, since we, as Type 1's are the minority. I'm sure it would have been totally unexpected that you went under thinking it was going to be laproscopic and woke up to being cut open. Things could have been much worse though!
I'm not on a pump, never took the "plunge" because I've been so comfortable with my shots...am so used to giving them that it really didn't matter to me, plus I have worn a continuous glucose monitor before and I just hated having that attached at all times. I'm thinking that is how I may feel about a pump, but then again, I have not read a lot about it, only heard the jist of it through the grapevine, from doctors and random posts on message boards. I was diagnosed back in the day (1980...eek! Shows my age! lol) and there have been SO many new developments since then.
Recently I saw a endocrinologist who thought I would benefit from taking U-500 instead of the Novolog and Lantus I was taking. I was pretty well controlled, aside from higher morning fasting sugars being slightly higher, but because I was taking a total of about 200 units and overweight, he said that I could take less units with this, which may help with insulin resistance and my weight. If you don't know, U-500 is a concentrated insulin where 1 unit is equal to 5 of regular or novolog. What I really don't understand is if it's concentrated, is it truly "less" and will give me back any sensitivity? The problem with U-500 is that it doesn't start working for like 1 - 1.5 hours and peak times are different and it last much longer, so they compared it more to an NPH than regular. I hate that it's not really adjustable to what you're eating...I really don't like it at all. They thought that this would also work for my high fasting BG's too, but it did not. They said to try it for a week, then call with sugars and they couldn't titrate until 7-14 days. Told me I didn't need to keep a food log and told me to take 10, 10, and 10 - breakfast, lunch and dinner. I WAS taking 45, 15 and 28. Does this make ANY sense to you? Hello...I was bottoming in the afternoon and waking up with BG in the 300's to 500's! I was like, "In the mornings I feel like crap...like I have to throw up, so dehyrated, SOOO tired, I REALLY hope that I can correct with Novolog if you won't let me correct with U-500!" Grrr...which I did at first, but...after listing to the CDE's for so long getting nowhere, I ended up tweaking things on my own - taking less U-500 at dinner and 30 Lantus at bedtime. I was taking 70 Lantus before the U-500 so I guess it's helping me somewhat. I just sort of wonder what is the point of changing all of this in the last few weeks if I will have to redo it all again after surgery, which could be as early as Nov. Sigh...we will see!
Congratulations on your awesome success, and it sounds like everything is pretty well controlled for you too! I would be thrilled with results like that! Slower weightloss is better sometimes too, so I hear. You have time to tone up and may have less loose skin. Is that the case for you?
Well I've rambled. I probably should've PMed you! I didn't realize that I was going to say so much.
Thanks again for taking the time to reply. Hope to hear back soon! Topic: RE: Type 1 for 30 years -- RNY or sleeve?
What is "reactive" hypoglycemia? I'm not just worried about the dumping. What I'm worried about is getting a low, like 40, needing to eat something with sugar in it or drink pop when in a pinch and then possibly throwing up what I just had/dumping and then going so low that I pass out. While pregnant with 2 out of 3 of my boys, because I had to keep my blood sugars lower all of the time for the sake of the baby, because I obviously waited too long to eat, I ended up falling down/passed out, was found on the floor and had to be taken to the ER. What if I'm throwing up when I'm 40? Scares me.
Also, what does blind stomach mean? Sorry, I'm not familiar with all the lingo quite yet! lol
Also, what does blind stomach mean? Sorry, I'm not familiar with all the lingo quite yet! lol
Topic: RE: Type 1 for 30 years -- RNY or sleeve?
Type 1 diabetic for 25 years - pumping for 12 years.
as a type 1, I don't have reactive hypoglycemia because my pump is giving me insulin not my pancreas.
Treating lows was a concern of mine, but it works out that I treat with milk first, sometimes with carnation instant breakfast, for thats a bit more carb, and then follow later with a protein type snack.
Having had diabetes as long as you have (I'm at 25 years myself) You might need to talk to your doctor to see if gastroparesis has any issue with the other surgical choices. When they went in to do my lap RNY, they found lots of fiberous tissue in my stomach lining, and therefore I had to be converted to an open procedure. I didn't like going open, but now being a year out, I don't give a flip. LOL. Recovery was a bit slower than a lap procedure - but I was pretty typical for an open taking about 2 months to finally feel totally human again.
Are you on a pump? If just doing injections, then work with your endo about changing your correction factor so that your using a higher number. Typically use 100 as my bg target, I raised it to 150 post op for a couple of months so that I wouldn't be correcting and going too low. That worked out great. I didn't have many severe lows.
As you know, when you get your swings under better control, you will be able to regain some of your hypoglycemia unawareness back. Raising your bg target even just a little and keeping it there can help reset the system.
I was very insulin resistant myself pre surgery my TDD was about 130-140 Now I average about 50 units. About 30 of that is basal. I'm still tweaking things a bit, and I am a year out so I can eat a bit more than early post op. All in all i think the diabetes has improved a great deal with the RNY - and like I said i have regained my insulin sensitivity. Before a correction/meal bolus could be 10-15 units. Now Its more like 2 to 4 units. I could of taken 2 units and not effect my system what so ever pre-op.
You got any further questions, please feel free to PM me.
Hope some of this stuff has helped. 13 months post op now and I'm down 132 pounds. A bit slower maybe than others being diabetic, but still feel so much better and has been worth it.
I don't dump, and I haven't pushed it but I have had to treat lows with sugar when all else fails.
Treating lows was a concern of mine, but it works out that I treat with milk first, sometimes with carnation instant breakfast, for thats a bit more carb, and then follow later with a protein type snack.
Having had diabetes as long as you have (I'm at 25 years myself) You might need to talk to your doctor to see if gastroparesis has any issue with the other surgical choices. When they went in to do my lap RNY, they found lots of fiberous tissue in my stomach lining, and therefore I had to be converted to an open procedure. I didn't like going open, but now being a year out, I don't give a flip. LOL. Recovery was a bit slower than a lap procedure - but I was pretty typical for an open taking about 2 months to finally feel totally human again.
Are you on a pump? If just doing injections, then work with your endo about changing your correction factor so that your using a higher number. Typically use 100 as my bg target, I raised it to 150 post op for a couple of months so that I wouldn't be correcting and going too low. That worked out great. I didn't have many severe lows.
As you know, when you get your swings under better control, you will be able to regain some of your hypoglycemia unawareness back. Raising your bg target even just a little and keeping it there can help reset the system.
I was very insulin resistant myself pre surgery my TDD was about 130-140 Now I average about 50 units. About 30 of that is basal. I'm still tweaking things a bit, and I am a year out so I can eat a bit more than early post op. All in all i think the diabetes has improved a great deal with the RNY - and like I said i have regained my insulin sensitivity. Before a correction/meal bolus could be 10-15 units. Now Its more like 2 to 4 units. I could of taken 2 units and not effect my system what so ever pre-op.
You got any further questions, please feel free to PM me.
Hope some of this stuff has helped. 13 months post op now and I'm down 132 pounds. A bit slower maybe than others being diabetic, but still feel so much better and has been worth it.
I don't dump, and I haven't pushed it but I have had to treat lows with sugar when all else fails.
Type 1 diabetic for 25 years - pumping for 12 years.
Topic: RE: 1 year post op now very LOW blood sugar levels
Mine is Dr. Linda Clemons on Tennessee Street. I was her first-ever DS patient, and she's been great to work with. She's one of those who treat the patient like we just might have some sense and actually KNOW something about our health issues. I think she's got 2 or 3 more DSers now---I've recommended her to people in the area. She's very good about researching how the DS makes me 'different', and she's very good about ordering labs, etc.
(deactivated member)
on 9/16/10 3:53 am - Woodbridge, VA
on 9/16/10 3:53 am - Woodbridge, VA
Topic: RE: ketoacidosis
Ketosis is not dangerous, diabetic or not. It's the ketoacidosis that's the dangerous one, and it is unrelated to ketosis.
(deactivated member)
on 9/16/10 3:52 am - Woodbridge, VA
on 9/16/10 3:52 am - Woodbridge, VA
Topic: RE: Type 1 for 30 years -- RNY or sleeve?
With the RNY, I would be much more nervous about reactive hypoglycemia than dumping. If I ever had to choose between VSG and RNY, I would opt for VSG in a heartbeat for preservation of the pylorus, no blind stomach, and fewer nutritional issues.
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