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Thanks so much for your reply and helpful info. I never thought of that, about pain increasing after I have had better sugar control. That is exactly what must be going on!!!!!
I had an A1C of 12.6 and gradually, over the last 5 years I have gotten it down to 6.9. I just went from 8.0, tho, to 6.9 which is a BIG leap in sugar control! I also recently quit smoking (4 months and 1 week ago), so after reading your message it occurred to me that this too may be increasing my pain since damaged tissues are now reviving as well.
No, NSAIDS aren't going to be an issue you are correct that they don't help at all for my pain. I take Lyrica, Cymbalta for the fibro and Tramadol and Oxycodone for the neuropathy.
I see the doc tomorrow for the neuropathy in my hands, I will mention this.
Thanks again and congrats!!!!
Yeah I had a few nurses that probably didn't see the type 1 diagnosis, but told me how great it will be to no longer need my pump anymore. Of course thats what they experience in their profession more often than not.
I had to laugh last year when I was getting my pump supplies re-ordered after 24 years of diabetes and pumping since 98 they finally required a c-peptide test on me. They had to have proof I didn't make any insulin at all. I was like wow, what if I made insulin, insta-matically cured. LOL (that was before my RNY)
Still pumping, using a lot less insulin too.
Type 1 diabetic for 25 years - pumping for 12 years.
Often when obese, there is a lot of inflamation going on inside the body, that too can cause issues with fibro and what have you. If your able to move more when you start having your weight loss, that will help with the pain. Not all, but i would think that there is hope. For me I don't have the pain in my wrists all the time - I have carpal tunnel, that is more diabetic related than computer use.
Nsaids are a big NO for life after RNY - But they don't help for the type of pain you have. Gosh I know. I'm just lucky that after 25 years being a type 1 - I haven't needed medications for the neuropathy pain I experience from time to time.
Good luck
Type 1 diabetic for 25 years - pumping for 12 years.
on 6/15/10 12:46 am - Woodbridge, VA
Re-emergence of diabetes after gastric bypass in patients with mid- to long-term follow-up
, , , , , , , , , ,Received 27 May 2009; received in revised form 22 September 2009; accepted 23 September 2009. published online 02 November 2009.
Abstract
Background
Studies have shown that type 2 diabetes (T2DM) improves or resolves shortly after Roux-en-Y gastric bypass (RYGB). Few data are available on T2DM recurrence or the effect of weight regain on T2DM status.
Methods
A review of 42 RYGB patients with T2DM and ≥3 years of follow-up and laboratory data was performed. Postoperative weight loss and T2DM status was assessed. Recurrence or worsening was defined as hemoglobin A1c >6.0% and fasting glucose >124 mg/dL and/or medication required after remission or improvement. Patients whose T2DM recurred or worsened were compared with those whose did not, and patients whose T2DM improved were compared with those whose T2DM resolved.
Results
T2DM had either resolved or improved in all patients (64% and 36%, respectively); 24% (10) recurred or worsened. The patients with recurrence or worsening had had a lower preoperative body mass index than those without recurrence or worsening (47.9 versus 52.9 kg/m2; P = .05), regained a greater percentage of their lost weight (37.7% versus 15.4%; P = .002), had a greater weight loss failure rate (63% versus 14%; P = .03), and had greater postoperative glucose levels (138 versus 102 mg/dL; P = .0002). Patients *****quired insulin or oral medication before RYGB were more likely to experience improvement rather than resolution (92% versus 8%, P ≤.0001; and 85% versus 15%; P = .0006, respectively).
Conclusion
Our results have shown that beyond 3 years after RYGB, the incidence of T2DM recurrence or worsening in patients with initial resolution or improvement was significant. In our patients, a greater likelihood of recurrence or worsening of T2DM was associated with a lower preoperative body mass index. Before widespread acceptance of bariatric surgery as a definitive treatment for those with T2DM can be achieved, additional study of this recurrence phenomenon is indicated.
on 6/15/10 12:40 am - Woodbridge, VA
on 6/15/10 12:36 am - Woodbridge, VA
http://www.soard.org/article/S1550-7289(09)00733-3/abstract
Analysis of factors associated with durable remission of diabetes after Roux-en-Y gastric bypass
, , , , , , ,
Received 27 May 2009; received in revised form 31 October 2009; accepted 3 November 2009. published online 12 November 2009.
Abstract
Background
Data on the durability of remission of type 2 diabetes mellitus (T2DM) after gastric bypass are limited. Our purpose was to identify the rate of long-term remission of T2DM and the factors associated with durable remission.
Methods
A total of 177 patients with T2DM who had undergone Roux-en-Y gastric bypass from 1993 to 2003 had 5-year follow-up data available. T2DM status was determined by interview and evaluation of the diabetic medications. Patients with complete remission or recurrence of T2DM were identified.
Results
Follow-up ranged from 5 to 16 years. Of the 177 patients, 157 (89%) had complete remission of T2DM with a decrease in their mean body mass index from baseline (50.2 ± 8.2 kg/m2) to 31.3 ± 7.2 kg/m2 postoperatively (mean percentage of excess weight loss 70.0% ± 18.6%). However, 20 patients (11.3%) did not have T2DM remission despite a mean percentage of excess weight loss of 58.2% ± 12.3% (P <.0009). Of the 157 patients with initial remission of their T2DM, 68 (43%) subsequently developed T2DM recurrence. Remission of T2DM was durable in 56.9%. Durable (>5-year) resolution of T2DM was greatest in the patients who originally had either controlled their T2DM with diet (76%) or oral hypoglycemic agents (66%). The rate of T2DM remission was more likely to be durable in men (P = .00381). Weight regain was a statistically significant, but weak predictor, of T2DM recurrence.
Conclusion
Early remission of T2DM occurred in 89% of patients after Roux-en-Y gastric bypass. T2DM recurred in 43.1%. Durable remission correlated most closely with an early disease stage at gastric bypass.I am 43 and am a Type II Diabetic on 5 to 8 shots of insulin a day and 2000 mg of Metformin, 50 mg of Januvia a day. My feet have hurt for about 1 year now and I can relate!!!! It's frickin' hell on earth. Now, just in the last 2 weeks, I have it in my hands! It hurts but it's mostly very annoying in the hands.
I am having surgery in 13 days. I was due to have it on the 8th of June in fact, had already started my prep the day before, when they cancelled the surgery due to a big nurses strike here in the Twin Cities, MN. So frustrating to have mentally and physically prepared for it and waited over 2 1/2 years and then have it cancelled. I thought I'd lose my mind. Ugh. I so hope I'm doing the right thing.
It was helpful reading some of the replies here. Some of them show hope of better days. I was hoping to see a happy, bouncy message saying that all side effects of diabetes are gone! But, no such luck. I do think we will feel drastically better without carrying around this much weight - it's literally like carrying around an adult woman. It HAS to feel better, or it just wouldn't make sense.
God Bless All! I truly pray that your neuropathy gets better!!!! I really understand how much it can hurt.
Jen
