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Topic: 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
Topic: RE: ketoacidosis
right ! this goes along with my above post. ketoacidosis is VERY SERIOUS and almost killed me after surgery.
cybil
cybil
Topic: RE: ketoacidosis
Actually it can be an issue. I am type II diabetic and have been for 11 years, 2 days after surgery my body went into severe DKA and I spent 5 days in the ICU and was close to losing my life. They are not sure what through me into it, possibly the stress of the surgery on my body, not enough liquids etc... But yes even after I came home I did and still do test my ketones and they run in the moderate to large range a lot, because of the lack of carbs and so much protein. But as long as I get a lot of liquids in each day and keep some carbs in my diet it seems to stay under control. Hopefully no one has the problem I had with it, but I would keep an eye on it.
cybil
cybil
(deactivated member)
on 9/12/10 11:57 pm - Woodbridge, VA
on 9/12/10 11:57 pm - Woodbridge, VA
Topic: RE: help newbie?
For me, low carb was the name of the game that worked best. Yes, they say you can eat a bunch of carbs per meal or per day, but "they" also say an A1C below 7.0 is "good for a diabetic" while levels that high are still causing damage to internal organs. They offer suggestions to follow based on what they think people WILL follow, not what they actually SHOULD follow. More and more studies show that a LOW carb diet (and 45g of carbohydrates per meal is not even close to low carb) is the most effective for type 2 diabetics. Also, eating fat can actually be HELPFUL, not harmful, yet I bet you were told to make low fat food choices, right? Fact of the matter is that fat will help to slow the absorption of the carbs you eat (when the two are consumed together), thereby reducing the severity of post-prandial spikes.
I'm going to say it: a 6-inch Subway sub, just the bread, is likely too many carbs to eat all at once for a diabetic not on insulin. And they type of bread doesn't always matter - many diabetics will have the same reaction to a slice of white bread as to a slice of whole wheat bread (I know I did).
Eat to your meter. That's the absolute best advice I've ever seen. If your meter tells you your meal had too many carbs, then don't eat that many again. You were probably told to test a couple times a day - I highly suggest that, until you get a good, solid knowledge baseline of what foods do/do not affect you, you test fasting, pre-meal, and then 30, 60, 90, and 120 minutes post-meal. this is the ONLY way to know how your body reacts to certain foods since we are all a bit different (for example, fruit spiked me the same as a freaking candy bar, yet some people can eat fruit without a major issue - may also depend on the type of fruit you choose or if you eat the fruit alone versus with some cheese or nuts or something).
I'm glad to read you're heading for a DS. My last A1C, OFF of all meds, at 1 year after my DS, was 4.8 with an accompanying fasting value in the 80s.
I'm going to say it: a 6-inch Subway sub, just the bread, is likely too many carbs to eat all at once for a diabetic not on insulin. And they type of bread doesn't always matter - many diabetics will have the same reaction to a slice of white bread as to a slice of whole wheat bread (I know I did).
Eat to your meter. That's the absolute best advice I've ever seen. If your meter tells you your meal had too many carbs, then don't eat that many again. You were probably told to test a couple times a day - I highly suggest that, until you get a good, solid knowledge baseline of what foods do/do not affect you, you test fasting, pre-meal, and then 30, 60, 90, and 120 minutes post-meal. this is the ONLY way to know how your body reacts to certain foods since we are all a bit different (for example, fruit spiked me the same as a freaking candy bar, yet some people can eat fruit without a major issue - may also depend on the type of fruit you choose or if you eat the fruit alone versus with some cheese or nuts or something).
I'm glad to read you're heading for a DS. My last A1C, OFF of all meds, at 1 year after my DS, was 4.8 with an accompanying fasting value in the 80s.
Topic: RE: 1 year post op now very LOW blood sugar levels
Do you see an endocrinologist, or just a PCP? Is your PCP in Florence? I ask because I LOVE my PCP, and she's very understanding about WLS patients.
Topic: RE: help newbie?
Nothing tastes as good as being thin feels <3
Mommy to 2 sweetie's Damien and Jaidyn
SW 310 CW 182 GW 150
Is your Dr you PCP? I found that mine wasn't educated about diabetes at all. He took me off Metformin when I became pregnant and then said I needed an endocrinologist. I have never looked back I only see my endo for my diabetes now so if your not doing that I would. The endo put me right back on the Metformin and doubled my dose along with me needing insulin injections.(This was while pregnant). An endo will be able to give you much better info and will in turn help you be able to manage your diabetes much better. Good Luck!
Nothing tastes as good as being thin feels <3
Mommy to 2 sweetie's Damien and Jaidyn
SW 310 CW 182 GW 150
Topic: RE: help newbie?
Thank you, Mishelle! I appreciate your kind support. I will call my doctor Monday. Having gone through this with family, I could practically teach the nutrition part of diabetic ed, and look where I ended up! Yes, I am testing two hours or so after a meal, but not every meal, as I was driving myself nuts.
I want to have a DS so I am pushing protein and water. I haven't had corn or peas since before the diagnosis. I have had some beans, in chili and soup with a good amount of lean meat and other veggies.
Have a great day! Go Colts!
I want to have a DS so I am pushing protein and water. I haven't had corn or peas since before the diagnosis. I have had some beans, in chili and soup with a good amount of lean meat and other veggies.
Have a great day! Go Colts!
Topic: RE: help newbie?
Type 1 diabetic for 25 years - pumping for 12 years.
When I first read your response, "am I going to have to poke myself" sounds like it wasn't something you wanted to do. Then you actually went to diabetes education and you learned that you will need to do regular testing, I want to applaud you with loud clapping hands. Poking yourself, not so easy, but you certainly have to do this when your diabetic. Even after you have surgery, and no longer require medication to treat your condition, I would still recommend rather highly to test periodically so that you keep on top of the sugars and avoid issues long term.
If your fasting sugars are not closer to 100 then to me it sounds like the medication that you are on isn't cutting it. A post meal bg of 190 is quite high. HOwever I have to ask, how long ago was it that you ate and you tested. IF it was 30 minutes, its still high, but your body's insulin may not of kicked in. Typically you test 2 hours after you eat. Might find that your body and medication can not handle the type of carb, and carb load for that meal.
They will usually start you on a smaller amount of the metformin, so that the body can adjust (sugars and digestive system) and then increase your dosages if needed. But i would not do it yourself with out your doctor knowing. Call them, tell them what your sugars are doing, and ask what he suggests. Don't wait two more weeks of high sugars before changes are made.
Best thing you can do for yourself is to treat your diabetes. Carbs, no matter what kind they are will convert to sugar in the blood. Typically CDE list a carb as 15 grams of cho - and they are permiting you to have 45 cho per meal. That might be too much for your system. Make sure that your balancing out your carbs with proteins and veg. Remember that corn and peas are considered starches and have to be counted as such.
HOpe this helps.
If your fasting sugars are not closer to 100 then to me it sounds like the medication that you are on isn't cutting it. A post meal bg of 190 is quite high. HOwever I have to ask, how long ago was it that you ate and you tested. IF it was 30 minutes, its still high, but your body's insulin may not of kicked in. Typically you test 2 hours after you eat. Might find that your body and medication can not handle the type of carb, and carb load for that meal.
They will usually start you on a smaller amount of the metformin, so that the body can adjust (sugars and digestive system) and then increase your dosages if needed. But i would not do it yourself with out your doctor knowing. Call them, tell them what your sugars are doing, and ask what he suggests. Don't wait two more weeks of high sugars before changes are made.
Best thing you can do for yourself is to treat your diabetes. Carbs, no matter what kind they are will convert to sugar in the blood. Typically CDE list a carb as 15 grams of cho - and they are permiting you to have 45 cho per meal. That might be too much for your system. Make sure that your balancing out your carbs with proteins and veg. Remember that corn and peas are considered starches and have to be counted as such.
HOpe this helps.
Type 1 diabetic for 25 years - pumping for 12 years.
Topic: help newbie?
Hi everyone. I was diagnosed as a type II on Aug 24 after a fasting of 180. My doctor gave me a prescription for metformin, told me to go to diabetic ed, and that's it. I have follow up blood work next week and see him again on the 20th. In my panic I asked him inarticulately if I would have to "poke myself" and he said no.
Well of course that turned out to be BS. At diabetic ed they said I had to get a meter. So I have been testing ever since I got all the stuff. My first test was Monday evening pre dinner and it was 122.
That is the lowest it has EVER been, including my morning fastings. I am religiously eating and drinking well, and my sugar has never gone below the 130s. It spiked so bad the day I ate a six inch Subway on wheat that sugars were in the 190s, but the readings were stressing me out, so maybe the stress made them go higher?
I have a feeling my doc is going to double the metformin, from 2 500 mg a day to 4. I'm about ready to do it myself and see what happens.
Diabetic ed says I can eat three carbs a meal. If I did that I bet my sugars would be in the 200s. I'm trying to keep them at six a day or so.
I know none of you are doctors, but does this seeming inability to eat carbs mean that my diabetes (I cringe just typing that) is going to be difficult to treat?
thank you all for your help.
Well of course that turned out to be BS. At diabetic ed they said I had to get a meter. So I have been testing ever since I got all the stuff. My first test was Monday evening pre dinner and it was 122.
That is the lowest it has EVER been, including my morning fastings. I am religiously eating and drinking well, and my sugar has never gone below the 130s. It spiked so bad the day I ate a six inch Subway on wheat that sugars were in the 190s, but the readings were stressing me out, so maybe the stress made them go higher?
I have a feeling my doc is going to double the metformin, from 2 500 mg a day to 4. I'm about ready to do it myself and see what happens.
Diabetic ed says I can eat three carbs a meal. If I did that I bet my sugars would be in the 200s. I'm trying to keep them at six a day or so.
I know none of you are doctors, but does this seeming inability to eat carbs mean that my diabetes (I cringe just typing that) is going to be difficult to treat?
thank you all for your help.
OregonStories
on 9/8/10 12:48 pm
on 9/8/10 12:48 pm
Topic: RE: Type I on Pump - lapband vs gastric bypass
Thanks for the insight. I also am Type 1 on a pump and treating lows is part of the worries. I have discussed this with my PCP as well as my NP and they both reassure me that it is managable. So time will tell. My RNY is scheduled for Sept 28. I am anxious to get this onto the next phase.
BTW, for those who have had the procedure, what has been your post-op recovery? I work part-time and wondered about returning after my 2 week office visit.
Thanks,
AuraLee
BTW, for those who have had the procedure, what has been your post-op recovery? I work part-time and wondered about returning after my 2 week office visit.
Thanks,
AuraLee
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